Individual
MARY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4115 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5213
(907) 563-7228
(907) 563-6278
Mailing address
4115 LAKE OTIS PARKWAY, ANCHORAGE, AK 99508
(907) 563-7228
(907) 563-6278
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
191
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM0191
—
AK
05
—
NP0174
—
AK
05
—
NP01741
—
AK
Enumeration date
09/29/2005
Last updated
05/01/2008
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