Individual
MS. MARY ELLEN DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
15765 KINGSLEY ROAD, NINILCHIK, AK 99639-9759
(907) 567-3970
Mailing address
PO BOX 39558, NINILCHIK, AK 99639-0558
(907) 235-8301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
351
AK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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