Individual
MARY LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-4950
Mailing address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-4950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1541
AK
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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