Provider Demographics
NPI:1427505288
Name:STRONGHEART, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:STRONGHEART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SPRUCEWOOD DR APT 1
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-6838
Mailing Address - Country:US
Mailing Address - Phone:907-740-1272
Mailing Address - Fax:907-782-4142
Practice Address - Street 1:129 SPRUCEWOOD DR APT 1
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-6838
Practice Address - Country:US
Practice Address - Phone:907-740-1272
Practice Address - Fax:907-782-4142
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator