Kathleen Doris Senecal, FNP-C, MSN, CWCN | |
2755 Dagan Cir, North Pole, AK 99705-6498 | |
(907) 750-9721 | |
Not Available |
Full Name | Kathleen Doris Senecal |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2755 Dagan Cir, North Pole, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235561127 | NPI | - | NPPES |
146162 | Other | AK | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0000X | Registered Nurse - Wound Care | 30133 (Alaska) | Secondary |
363LF0000X | Nurse Practitioner - Family | 146162 (Alaska) | Primary |
Entity Name | Tanana Valley Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991 |
Mailing Address | Practice Location Address |
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Kathleen Doris Senecal, FNP-C, MSN, CWCN 2755 Dagan Cir, North Pole, AK 99705-6498 Ph: (907) 750-9721 | Kathleen Doris Senecal, FNP-C, MSN, CWCN 2755 Dagan Cir, North Pole, AK 99705-6498 Ph: (907) 750-9721 |
Mrs. Whitney Mcclintock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4313 Polar Fox Loop, North Pole, AK 99705 Phone: 330-401-1028 | |
Lyndsey E Smith, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2957 Santa Patricia Ct, North Pole, AK 99705 Phone: 907-385-0257 |