Individual
SUSAN ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16933 KIYONA CIR, EAGLE RIVER, AK 99577-8501
(907) 854-6257
Mailing address
16933 KIYONA CIR, EAGLE RIVER, AK 99577-8501
(907) 854-6257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26483
AK
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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