Individual
MS. CAROL MARIA VAN DE ROSTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3340 PROVIDENCE DR, TOWER A, SUITE 565, ANCHORAGE, AK 99508-4691
(907) 212-8477
Mailing address
3760 PIPER ST, SUITE 1060, ANCHORAGE, AK 99508-4665
(907) 212-6522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
632
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5600
—
AK
Enumeration date
11/29/2007
Last updated
02/11/2013
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