Individual
ANN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
(907) 561-1416
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 261-5392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
18965
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1280
AK
Other
Enumeration date
12/14/2011
Last updated
02/15/2012
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