Individual
DEEANN LESLIE KOPCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 H ST, #100, ANCHORAGE, AK 99501-3446
(907) 770-0862
Mailing address
711 H ST, #100, ANCHORAGE, AK 99501-3446
(907) 770-0862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9769
AK
376K00000X
Nurse's Aide
00030570602
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805504200
—
ID
Enumeration date
03/12/2008
Last updated
10/26/2012
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