Individual
SUSANNA PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3316
Mailing address
7750 BOUNDARY AVE, ANCHORAGE, AK 99504-1202
(530) 401-1068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36476
AK
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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