Organization
MARIEKE HEATWOLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA K ELSIK (BUSINESS MANAGER)
(907) 677-2990
Entity
Organization
Contact information
Practice address
4101 ARCTIC BLVD STE 104, ANCHORAGE, AK 99503-5702
(907) 677-5910
(907) 600-7711
Mailing address
205 E. DIMOND BLVD, PMB553, ANCHORAGE, AK 99515
(907) 677-5910
(907) 600-7711
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
03/18/2022
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