Individual
ELIZABETH ENDERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-6361
Mailing address
4201 TUDOR CENTRE DR STE 320, ANCHORAGE, AK 99508-5916
(907) 729-6337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM37411
—
AK
Enumeration date
05/02/2007
Last updated
07/08/2007
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