Individual
LENNETT PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
38066
AK
363L00000X
Nurse Practitioner
Primary
166918
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721224
—
AK
Enumeration date
10/21/2020
Last updated
12/03/2025
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