Individual
SHEA NICOLE PRESTEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3909 ARCTIC BLVD STE 101, ANCHORAGE, AK 99503-5769
(907) 205-4157
Mailing address
3909 ARCTIC BLVD STE 101, ANCHORAGE, AK 99503-5769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
172206
AK
Other
Enumeration date
09/09/2019
Last updated
12/02/2021
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