MS. CYNTHIA GORDON NICKERSON


Address: Bartlett Regional Hospital, 3260 Hospital Drive, Douglas, AK 99801
Phone: 9077968649

MS. CYNTHIA GORDON NICKERSON (NPI# 1891350005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891350005
Entity Type Individual
Full Name MS. CYNTHIA GORDON NICKERSON
Credential RN CDE CMC
Practice Address Bartlett Regional Hospital
3260 Hospital Drive
Douglas
AK 99801
Mailing Address 2126 2nd St
Douglas
AK 99824-5115
Practice Telephone 9077968649
Practice Fax Number 9077968574
Mailing Telephone 9079572999
Enumeration Date 2019-05-02
Last Update Date 2019-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
NURR19700 AK Nursing Service Providers

Office Location

Street Address BARTLETT REGIONAL HOSPITAL
3260 HOSPITAL DRIVE
City DOUGLAS
State AK
Zip Code 99801

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1831733351 Monalisa Vaolete Lauofo Counselor 5594 Aisek Street, Juneau, AK 99801 2019-10-29
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851856827 Susan B Martin Registered Nurse 8030 Resurrection Dr, Anchorage, AK 99504-4731 2019-02-04
1396239604 Barbara Walter Long Registered Nurse Medical Park Family Care-diabetes Care Center, 2221 E. Northern Lights Blvd. Suite 118, Anchorage, AK 99508 2018-06-20
1386846426 Bruce Warwick Registered Nurse 436 and 5th, Ted Stevens Way, Kotzebue, AK 99752-0043 2007-06-01
1134295082 Mary J Flora Registered Nurse 309 Spruce Street, Yukon Flats Health Center, Fort Yukon, AK 99740 2006-11-24
1417492463 Nancy Davidian Registered Nurse 1001 Noble St, Fairbanks, AK 99701-4948 2016-12-29
1932542552 Diabetes Self Management Consultants Registered Nurse 2490 Spruce Cape Rd, Kodiak, AK 99615-6614 2013-04-12
1265718456 Claire L Banks Registered Nurse 1717 West Cowles Street, Fairbanks, AK 99701 2011-11-01
1134420078 Lois Schumacher Registered Nurse 6000 Kanakanak Rd, Dillingham, AK 99576 2010-11-09
1437463601 Louisa Gayle Solesbee Registered Nurse 1915 E Rezanof Dr, Kodiak, AK 99615-6602 2010-07-30
1053567404 Peter Christian Registered Nurse 3245 Hospital Dr, Juneau, AK 99801-7809 2008-08-15
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Competitor

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City DOUGLAS
Zip Code 99801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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