Individual
MS. MERRITT M ANDRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4675 GLACIER HWY, JUNEAU, AK 99801-9518
(907) 321-5708
(907) 780-6425
Mailing address
20133 COHEN DR, JUNEAU, AK 99801-8211
(907) 957-1131
(907) 780-6425
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
566
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2256
—
AK
Enumeration date
12/14/2006
Last updated
07/08/2007
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