Individual
MARY DEPEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 433-7341
(907) 433-7393
Mailing address
1650 BRAGAW ST, ANCHORAGE, AK 99508-3435
(907) 433-7341
(907) 433-7341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NURP6127
AK
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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