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Individual

MS. J. DETTE AVALON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, ANP

Contact information

Practice address
3524 EAST 15TH AVE, ANCHORAGE, AK 99508
(907) 222-6601
(907) 222-6602
Mailing address
3524 EAST 15TH AVE, ANCHORAGE, AK 99508
(907) 222-6601
(902) 222-6602

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
308
AK
363L00000X
Nurse Practitioner
Primary
944
AK
363LF0000X
Family Nurse Practitioner
308
AK
363LF0000X
Family Nurse Practitioner
944
AK
364SH1100X
Holistic Clinical Nurse Specialist
944
AK

Other

Enumeration date
10/03/2006
Last updated
11/25/2015
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