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Individual

TAMMY LORRAINE EARNEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
120 CARLANNA LAKE RD, STE 102, KETCHIKAN, AK 99901-5611
(907) 247-9355
(907) 225-9376
Mailing address
120 CARLANNA LAKE RD, STE 102, KETCHIKAN, AK 99901-5611
(907) 247-9355
(907) 225-9376

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1383
AK

Other

Enumeration date
07/25/2013
Last updated
02/08/2016
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