Individual
ANNE WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 TOKSOOK BAY SUB-REGIONAL CLINIC, TOKSOOK BAY, AK 99637
(907) 543-6300
Mailing address
P.O. BOX 37028, TOKSOOK BAY, AK 99637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23973
AK
363L00000X
Nurse Practitioner
Primary
816
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0816
—
AK
Enumeration date
05/01/2007
Last updated
11/26/2012
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