Individual
MRS. CHANDRA DENEE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
711 H ST, SUITE 100, ANCHORAGE, AK 99501-3446
(907) 770-0862
Mailing address
536 DYEA AVE, UNIT D, JBER, AK 99505-1123
(660) 624-0264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35268
AK
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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