Individual
SHARON ANN BANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1200 AIRPORT HEIGHTS DR, SUITE 280, ANCHORAGE, AK 99508
(907) 339-9700
(907) 339-9720
Mailing address
19739 WAR ADMIRAL RD, EAGLE RIVER, AK 99577
(907) 696-1697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
584
AK
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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