Individual
MR. TIMOTHY J. MANNEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
2925 DEBARR RD, ANCHORAGE, AK 99508-2983
(907) 257-4854
Mailing address
2925 DEBARR RD, ANCHORAGE, AK 99508-2983
(907) 257-4854
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
427
AK
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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