Individual
BEVERLY DISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6448 TOLHURST CT, ANCHORAGE, AK 99504-4450
(907) 317-9259
Mailing address
6448 TOLHURST CT, ANCHORAGE, AK 99504-4450
(907) 317-9259
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
27864
AK
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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