Individual
MARY DOWNS-LAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1867 AIRPORT WAY, FAIRBANKS, AK 99701-4054
(907) 452-6330
Mailing address
87 SLATER DR, #2, FAIRBANKS, AK 99701-3450
(574) 276-2913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7389376
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1438
AK
Other
Enumeration date
01/19/2012
Last updated
09/05/2014
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