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Individual

STEPHANIE GRACE WRIGHTSMAN-BIRCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6307 DEBARR RD, SUITE C, ANCHORAGE, AK 99504-1701
(907) 333-7425
(907) 333-7719
Mailing address
6307 DEBARR RD, SUITE C, ANCHORAGE, AK 99504-1701
(907) 333-7425
(907) 333-7719

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
323
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730113739
GROUP NPI
AK
01
EIN
743109721
AK
Enumeration date
07/28/2007
Last updated
06/17/2008
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