IndividualActive
Fannie Smith
NPI 1679919450 · Community Health Worker · Dillingham, AK
Provider details
- NPI number
- 1679919450
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11-1143-III (AK)
Specialties & taxonomies
Other Service Providers
Practice location
6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone: (907) 842-9217
Fax: (907) 842-9250
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Dillingham, AK 99576-0130
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2013-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.