MRS. LOTTIE TICKETT I

Community Health Worker

Active Individual
NPI: 1528335007

Practice Address

80 BACK STREET
Shungnak, AK 99773

Phone: (907) 437-2138

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes 00-019-P (AK)

Frequently Asked Questions

NPI 1528335007 is the National Provider Identifier for MRS. LOTTIE TICKETT I, a Community Health Worker provider located in Shungnak, AK. This NPI was enumerated on November 28, 2011.
MRS. LOTTIE TICKETT I practices at 80 BACK STREET, Shungnak, AK 99773.

Quick Facts

NPI
1528335007
Type
Individual
Enumerated
Nov 28, 2011
Last Updated
Nov 28, 2011

Nearby Providers