Individual
AMBER TANDESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
11470 BUSINESS BLVD STE 100, EAGLE RIVER, AK 99577-7780
(907) 689-3450
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(907) 212-6531
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NURU1444
AK
Other
Enumeration date
05/30/2008
Last updated
07/09/2021
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