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Individual

BARBARA A WORTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.F.A.

Contact information

Practice address
21134 LOWLAND AVE, EAGLE RIVER, AK 99577-9584
(907) 696-7670
(907) 550-6179
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2325

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
16761
AK
364SM0705X
Medical-Surgical Clinical Nurse Specialist
16761
AK

Other

Enumeration date
03/20/2007
Last updated
12/08/2010
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