Most Relevant Information
Provider Data
| NPI Number: | 1003698770 |
| Provider Name: | BERNADETTE SHOLD DEVENY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2023 |
| Last Updated: | 11/17/2023 |
Provider Practice Location
1709 BRAGAW ST
ANCHORAGE
AK
995083436
Practice Location Phone/Fax
| Phone: | 9075625340 |
| Fax: |
Provider Mailing Location
3603 WYOMING DR
ANCHORAGE
AK
995172631
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |