Individual
NICHOLETTE M ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503
(907) 276-2803
(907) 278-8052
Mailing address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503
(907) 276-2803
(907) 278-8052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102001
AK
174400000X
Specialist
MP2111
AK
Other
Enumeration date
09/06/2012
Last updated
05/10/2016
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