Individual
MRS. KERRY J TINTZMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2741 DEBARR RD, STE C-416, ANCHORAGE, AK 99508-2953
(907) 258-4430
(907) 258-4435
Mailing address
2741 DEBARR RD, STE C-416, ANCHORAGE, AK 99508-2953
(907) 258-4430
(907) 258-4435
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
787
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0787
—
AK
01
—
P00167867
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
07/08/2007
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