Heather Ruth Edgren
Heather Ruth Edgren is an Attendant Care Provider in Big Lake, Alaska. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
13784 W Airigin DrBig Lake, AK 99652
Phone: (907) 315-1517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1790394914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 23, 2020 |
| Last updated in NPPES | July 23, 2020 |
| Certification date | July 23, 2020 |
| Mailing address | Po Box 521611, Big Lake, AK 99652-1611 |