Individual
MRS. HALLEY MARIE FONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN; FNP
Contact information
Practice address
PAGE STREET, SOLDOTNA, AK 99669-2634
(802) 673-2215
Mailing address
PO BOX 2634, SOLDOTNA, AK 99669-2634
(802) 673-2215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
146799
AK
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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