Individual
MARY EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2105 E 88TH AVE, ANCHORAGE, AK 99507-3805
(907) 248-2482
(907) 248-0045
Mailing address
PO BOX 743896, ATLANTA, GA 30374-3896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1418
AK
Other
Enumeration date
01/27/2014
Last updated
12/14/2020
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