Most Relevant Information
Provider Data
| NPI Number: | 1003634957 |
| Provider Name: | HARLEY CRIDER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2024 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
2330 NICHOLS ST
ANCHORAGE
AK
995083458
Practice Location Phone/Fax
| Phone: | 9073348804 |
| Fax: |
Provider Mailing Location
2330 NICHOLS ST
ANCHORAGE
AK
995083458
Provider Mailing Phone/Fax
| Phone: | 9073348804 |
| Fax: |