Theodore Yngve Korsgren in Fairbanks - Licensed Practical Nurse
Theodore Yngve Korsgren - NPI 1497942585
Theodore Yngve Korsgren is a Licensed Practical Nurse in Fairbanks, Alaska. Theodore Yngve Korsgren practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Theodore Yngve Korsgren is 1497942585. The last update date is 2012-12-03.
Theodore Yngve Korsgren's current location address is 1717 W. Cowles St., Fairbanks, Alaska. You can contact this provider via phone number 9074516682. The mailing address for Theodore Yngve Korsgren is 1717 W. Cowles St., Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Yngve Korsgren |
|---|---|
| Address | 1717 W. Cowles St., Fairbanks, Alaska |
| Phone Number | 9074516682 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1497942585 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2012-12-03 |
Provider Mailing Address Detail
| Address | 1717 W. Cowles St. |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997015903 |
| Phone Number | 9074516682 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 5364 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identifier code issued to Theodore Yngve Korsgren by the Centers for Medicare & Medicaid Services?
The Theodore Yngve Korsgren has been assigned the NPI (National Provider Identifier) 1497942585 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Theodore Yngve Korsgren is physically located?
The Theodore Yngve Korsgren is physically situated at the following address: 1717 W. Cowles St., Fairbanks, AK, 997015903.
What is Theodore Yngve Korsgren's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theodore Yngve Korsgren is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.
When was the Theodore Yngve Korsgren's 1497942585 issued?
The Theodore Yngve Korsgren's 1497942585 was issued on 2007-10-02.
When was the information pertaining to Theodore Yngve Korsgren most recently updated or revised?
The details related to Theodore Yngve Korsgren, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-03.
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