Individual
DANIELLE LISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,APRN,CPNP-PC
Contact information
Practice address
2741 DEBARR RD STE C308, ANCHORAGE, AK 99508-2972
(907) 331-3640
(907) 331-3647
Mailing address
2741 DEBARR RD STE C308, ANCHORAGE, AK 99508-2972
(907) 331-3640
(907) 331-3647
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
145538
AK
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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