Most Relevant Information
Provider Data
| NPI Number: | 1003354309 |
| Provider Name: | GENIA TRUSS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 116271 |
Most Important Dates
| Enumeration Date: | 02/07/2017 |
| Last Updated: | 02/07/2017 |
Provider Practice Location
750 BISON ST
KOTZEBUE
AK
997520830
Practice Location Phone/Fax
| Phone: | 9074427884 |
| Fax: |
Provider Mailing Location
PO BOX 830
KOTZEBUE
AK
997520830
Provider Mailing Phone/Fax
| Phone: | 9074427884 |
| Fax: |