Individual
JAMIE D PANZERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
36745 FUEDING LANE, STERLING, AK 99672
(907) 398-2369
(907) 262-6690
Mailing address
PO BOX 1055, SOLDOTNA, AK 99669-1055
(907) 398-2369
(907) 262-6690
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM2874
—
AK
Enumeration date
12/24/2007
Last updated
03/18/2008
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