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>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1609990670

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
HC 1 BOX 335  GAKONA, AK 99586-9702 US
Tel: 907-822-3937  Fax: 907-822-3937

Contact information for business:
HC 1 BOX 335  GAKONA, AK 99586-9702 US
Tel: 907-822-3937  Fax: 907-822-3937

Registration Information:
NPI: 1609990670
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Legacy codes, insurance codes and state license numbers:



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