Individual
ANNABEL K. MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3760 PIPER STREET, SUITE LL139, ANCHORAGE, AK 99504-7459
(907) 212-6233
(907) 563-3217
Mailing address
PO BOX 196276, ANCHORAGE, AK 99519-6276
(907) 212-6233
(907) 563-3217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24598
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AK
Enumeration date
02/13/2007
Last updated
07/09/2007
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