Individual
ELIZABETH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2650 E BROADVIEW AVE, WASILLA, AK 99654-8302
(907) 373-3420
(907) 376-7847
Mailing address
5000 E SHENNUM DR, WASILLA, AK 99654-7718
(907) 373-3420
(907) 376-7847
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
160109
AK
367A00000X
Advanced Practice Midwife
995312-CNM
CO
Other
Enumeration date
03/20/2020
Last updated
05/26/2021
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