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Individual

KRISTINA AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1626 30TH AVE, FAIRBANKS, AK 99701-7466
(907) 479-7701
(907) 479-7718
Mailing address
1626 30TH AVE, FAIRBANKS, AK 99701-7466
(907) 479-7701
(907) 479-7718

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NURR30853
AK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
106394
AK

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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