Individual
NICOLE SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E 56TH AVE STE 4, ANCHORAGE, AK 99518-1237
(907) 360-5001
(907) 258-9475
Mailing address
165 E 56TH AVE STE 4, ANCHORAGE, AK 99518-1237
(907) 360-5001
(907) 258-9475
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926001185
—
AK
Enumeration date
04/29/2015
Last updated
04/29/2015
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