Individual
MS. STACEY REYNOLDS DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
103 FRAM TREET, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 773-3085
Mailing address
PO BOX 1732, PETERSBURG, AK 99833-1732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
163327
AK
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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