Individual
CONNIE FALCON POMERANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1301 HUFFMAN RD STE 100, ANCHORAGE, AK 99515-3568
(907) 345-1199
Mailing address
4311 CONSTELLATION AVE, UNIT G53, ANCHORAGE, AK 99517-2735
(985) 287-1416
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1407
AK
363LA2100X
Acute Care Nurse Practitioner
AP07377
LA
363LF0000X
Family Nurse Practitioner
Primary
1407
AK
363LF0000X
Family Nurse Practitioner
AP07377
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1607051
—
AK
Enumeration date
08/14/2013
Last updated
04/16/2018
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