Individual
ANNE MICHELE IVANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 AIRPORT RD, UNALAKLEET, AK 99684
(907) 624-5220
Mailing address
324 HILLSIDE DR, PO BOX 324, UNALAKLEET, AK 99684
(907) 624-5220
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
15900
AK
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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