| Shane Carllson, RN | |
|
829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559 | |
| (907) 549-6809 | |
| (907) 543-7110 |
| Full Name | Shane Carllson |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 829 Cheif Eddie Hoffman Hwy, Bethel, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861823106 | NPI | - | NPPES |
| 1020986 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 27765 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Carllson, RN Po Box 528, Bethel, AK 99559-0528 Ph: (907) 543-6809 | Shane Carllson, RN 829 Cheif Eddie Hoffman Hwy, Bethel, AK 99559 Ph: (907) 549-6809 |
Nikki Christina Hoffman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 829 Cheif Eddie Hoffman Highway, Bethel, AK 99559 Phone: 907-543-6100 Fax: 907-543-6159 | |
Mary Berliner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1490 Eddie Hioffman Hwy, Bethel, AK 99559 Phone: 907-543-2110 Fax: 907-543-0436 | |
Martha Madeline Harrington, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1490 State Hwy, Bethel, AK 99559 Phone: 907-543-0433 Fax: 907-543-0435 | |
Katy Krings, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1490 State Highway, Bethel, AK 99559 Phone: 907-543-2110 Fax: 907-543-0435 | |
Tammy Kaboord, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1490 Eddie Hoffman Hwy, Bethel, AK 99559 Phone: 907-543-0432 | |
Soohyun Kim, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1490 State Hwy, Bethel, AK 99559 Phone: 907-543-2110 | |
Andrew Palm, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1490 State Hwy, Bethel, AK 99559 Phone: 907-543-2110 Fax: 907-543-0436 |