Individual
LAURA ANN HENNEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 160, CORDOVA, AK 99574-0160
(907) 424-8000
(907) 424-8116
Mailing address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
(530) 876-2538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138454
AK
Other
Enumeration date
12/27/2006
Last updated
08/27/2024
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