Individual
JEANIEANN JEN BROGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
Mailing address
9499 BRAYTON DR SPC 269, ANCHORAGE, AK 99507-4048
(907) 764-1903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
33049
AK
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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