IndividualActive
Amanda Iverson
NPI 1063018562 · Community Health Worker · Ketchikan, AK
Provider details
- NPI number
- 1063018562
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
3356 Dale St
Ketchikan, AK 99901-5626
Phone: (907) 225-7825
Approximate (ZIP-level) locationGet directions
Mailing address
721 Stedman St
Ketchikan, AK 99901-6632
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.