Individual
MELISSA VAN FOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 W TUDOR RD STE 1, ANCHORAGE, AK 99503-6649
(907) 744-1944
(907) 921-7669
Mailing address
10715 BRIGGS CACHE CIR, EAGLE RIVER, AK 99577-8194
(406) 531-6815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203486
AK
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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