Individual
MELISSA RUTH HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 212-5086
Mailing address
5519 COLLEGE MEADOW CIR, ANCHORAGE, AK 99504-3700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
218676
AK
363LA2200X
Adult Health Nurse Practitioner
218676
AK
363LG0600X
Gerontology Nurse Practitioner
Primary
218676
AK
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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