Individual
NICOLE LYNN MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-3973
Mailing address
889 W CHENA HILLS DR, FAIRBANKS, AK 99709-5716
(330) 357-1795
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1042969
AK
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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