Individual
DONNA HASTEROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5235
(907) 375-5200
(907) 375-5203
Mailing address
4015 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5235
(907) 375-5200
(907) 375-5203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209900
AK
363L00000X
Nurse Practitioner
RB090489
GA
Other
Enumeration date
02/20/2017
Last updated
08/01/2023
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