Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jul 25, 2012
License(s)
No. 1150 (AK), 345328 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3600 MINNESOTA DR | Anchorage, AK 99503-3675 | 907-279-3500 |
| MAILING | 3600 MINNESOTA DR | Anchorage, AK 99503-3675 | 907-279-3500 |
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