Individual
ANGELA WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5431 E MAYFLOWER LN STE 4, WASILLA, AK 99654-7891
(888) 382-1897
Mailing address
5431 E MAYFLOWER LN STE 4, WASILLA, AK 99654-7891
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229628
AK
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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