Individual
SHANNON L TESNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 CORDOVA ST, ANCHORAGE, AK 99501-3717
(907) 929-2222
Mailing address
4909 MILLS DR, ANCHORAGE, AK 99508-4736
(907) 602-0057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
132771
AK
207Q00000X
Family Medicine Physician
Primary
252647
AK
Other
Enumeration date
12/30/2024
Last updated
04/04/2026
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