Individual
CLARE LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
MILE 187 GLENN HWY, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10879-0225-02
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RH0522
—
AK
Enumeration date
12/18/2005
Last updated
08/18/2009
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