Individual
MARY DECOURCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 LAKE OTIS PKWY STE 322, ANCHORAGE, AK 99508-5231
(907) 562-1234
Mailing address
4100 LAKE OTIS PKWY STE 322, ANCHORAGE, AK 99508-5231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1429
AK
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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