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Individual

MRS. MELODY CARTER MITTELSTEADT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-6791
Mailing address
1239 JUNEAU AVE APT A, JBER, AK 99505-1065
(210) 897-9248

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35359
AK

Other

Enumeration date
08/03/2013
Last updated
08/03/2013
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