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Individual

MS. DIANNE K. B. MAYTHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-7269
(907) 729-5180

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
17770
AK
363LF0000X
Family Nurse Practitioner
Primary
1223
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912011842
AGENCY NPI NUMBER
AK
05
HH2487
AK
05
NA2487
AK
05
NP0193
AK
05
PCG214
AK
Enumeration date
04/24/2007
Last updated
06/30/2026
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