Naffziger, Wanda Sue

Naffziger, Wanda Sue is an sole proprietor health care provider with primary practice located at 1423 Peger Rd , Fairbanks AK 99709-5169. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Naffziger, Wanda Sue can be contacted via phone (907) 371-1300.

Contact Information

Primary practice address
1423 Peger Rd Fairbanks AK 99709-5169
Phone: (907) 371-1300
Fax: (907) 371-1386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1669763579
LBN Legal business name Naffziger, Wanda Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Feb 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669763579 NPPES
Alaska MEDICAID MH0157

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