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MRS. TRENA L DAGENHART R.N.
Ambulatory Care >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1558504225
Individual Registrant:MRS. TRENA L DAGENHART R.N.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
222 TONGASS DR SITKA, AK 99835-9416 US
Tel: 907-366-2411 Fax: --
Tel: 907-366-2411 Fax: --
Contact information for business:
4507 HALIBUT POINT RD # B SITKA, AK 99835-9507 US
Tel: 907-966-3419 Fax: --
Tel: 907-966-3419 Fax: --
Registration Information:
NPI: 1558504225
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WP2201X | Nursing Service Providers Registered Nurse Ambulatory Care | AK | 25999 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
