Individual
CARLENE ANN MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9150 JEWEL LAKE RD STE B, ANCHORAGE, AK 99502-5337
(907) 248-8561
(907) 248-8563
Mailing address
9150 JEWEL LAKE RD STE B, ANCHORAGE, AK 99502-5337
(907) 248-8561
(907) 248-8563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
197411
AK
363LF0000X
Family Nurse Practitioner
Primary
895242
NV
363LF0000X
Family Nurse Practitioner
PENDING
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
01
—
PENDING
PENDING
MO
Enumeration date
06/16/2022
Last updated
04/07/2026
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