National Provider Identifier Database

AHTNA T AENE NENE
Mental Health


Contact Information

AHTNA T' AENE NENE'
MP 111.5 RICHARDSON HWY
COPPER CENTER, AK99573-0508
Phone: 907-822-5241
Fax: 907-822-8801
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for AHTNA T' AENE NENE'

NPI Number 1194866871
Legal business name
LBN
AHTNA T' AENE NENE'
Authorized official NIKKI WIEDLUND - (PATIENT FINANCIAL SERVICES MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/08/2007
Last updated 02/28/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 36087
  • AK Medicaid: DA4434
  • AK Medicaid: MH0641

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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