Individual
SOPHIE MARIE SEVERANCE PATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8062
(907) 313-1333
Mailing address
357 E PARKS HWY, WASILLA, AK 99654-7005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
209100
AK
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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