Individual
RIA PINGOL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 562-2211
Mailing address
6731 PICKWICK PL, ANCHORAGE, AK 99504-3344
(907) 268-0798
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221131
AK
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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