Individual
MRS. DONNA M PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
612 N. CHANDALAR, FAIRBANKS, AK 99775-5580
(907) 474-7043
(907) 474-5777
Mailing address
PO BOX 755580, FAIRBANKS, AK 99775-5580
(907) 474-7043
(907) 474-5777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
705
AK
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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