Individual
PATRICIA ANN EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4030 VANCE DR, ANCHORAGE, AK 99508-5643
(602) 909-6289
Mailing address
4030 VANCE DR, ANCHORAGE, AK 99508-5643
(602) 909-6289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6305
AK
Other
Enumeration date
09/03/2009
Last updated
12/03/2015
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