Individual
MELANIE ROCHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-1648
Mailing address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
(907) 452-1648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR38302
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020979
—
AK
Enumeration date
10/17/2022
Last updated
10/17/2022
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