Individual
MS. NICOLETTE THUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1651 GEORGE BELL CIR, STE 900, ANCHORAGE, AK 99515-3955
(907) 345-7082
Mailing address
1651 GEORGE BELL CIR, ANCHORAGE, AK 99515-3955
(907) 345-7082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AK429
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502254
AETNA
—
05
—
NP04292
—
AK
Enumeration date
08/31/2005
Last updated
01/08/2013
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