Individual
JERI ROSENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 452-8181
Mailing address
289 JADE ST, FAIRBANKS, AK 99712-1832
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
199813
AK
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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