Individual
DR. NICOLE LYNN BERHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 E NORTHERN LIGHTS BLVD, #136, ANCHORAGE, AK 99503-4132
(907) 258-6333
Mailing address
600 E NORTHERN LIGHTS BLVD, #136, ANCHORAGE, AK 99503-4132
(907) 258-6333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0178
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD1178
—
AK
Enumeration date
09/23/2006
Last updated
07/08/2007
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