Individual
MS. JUDITH M. ELLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
US COAST GUARD ISC KODIAK, BLDG N46, KODIAK, AK 99619-5002
(907) 487-5757
(907) 487-5151
Mailing address
11572 S RUSSIAN CREEK RD, KODIAK, AK 99615-9324
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
14210
AK
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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