Organization
CYNTHIA EBELACKER, ANP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA EBELACKER ANP (OWNER)
(907) 632-7577
Entity
Organization
Contact information
Practice address
1407 W 31ST AVE, STE 201, ANCHORAGE, AK 99503-3678
(907) 646-9948
(907) 646-9949
Mailing address
1407 W 31ST AVE, STE 201, ANCHORAGE, AK 99503-3678
(907) 646-9948
(907) 646-9949
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
435
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
435
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG0090
—
AK
Enumeration date
09/25/2009
Last updated
11/23/2009
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