Individual
DANA CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
8717 DIMOND D CIR, ANCHORAGE, AK 99515-1931
(907) 771-0536
(907) 771-0537
Mailing address
8717 DIMOND D CIR, ANCHORAGE, AK 99515-1931
(907) 771-0536
(907) 771-0537
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
NURR29032
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
189982
AK
Other
Enumeration date
03/11/2022
Last updated
03/12/2022
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