Clare Lattimore, FNP | |
Mile 187 Glenn Hwy, Glennallen, AK 99588-0589 | |
(907) 822-3203 | |
(907) 822-5805 |
Full Name | Clare Lattimore |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Mile 187 Glenn Hwy, Glennallen, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558347989 | NPI | - | NPPES |
RH0522 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10879-0225-02 (Alaska) | Primary |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Entity Name | Southcentral Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Entity Name | Aleutian Pribilof Islands Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093939233 PECOS PAC ID: 0648310656 Enrollment ID: O20140225001523 |
Mailing Address | Practice Location Address |
---|---|
Clare Lattimore, FNP Po Box 5, Glennallen, AK 99588-0589 Ph: (907) 822-3203 | Clare Lattimore, FNP Mile 187 Glenn Hwy, Glennallen, AK 99588-0589 Ph: (907) 822-3203 |
Kippen Marshall Jacobson, NP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mile 187 Glenn Hwy, Glennallen, AK 99588 Phone: 907-822-3203 Fax: 907-822-5805 |