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Individual

THERESA MARIE BOSTWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
625
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0625
AK
Enumeration date
08/17/2006
Last updated
07/08/2007
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