Individual
SALLY L. COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 ARCTIC BLVD, STE 101, ANCHORAGE, AK 99503-4523
(907) 561-3488
(907) 562-3488
Mailing address
18828 MOOSE PL, CHUGIAK, AK 99567-6645
(907) 854-8840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
363LF0000X
Family Nurse Practitioner
Primary
335
AK
Other
Enumeration date
04/06/2007
Last updated
08/17/2020
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