Individual
LEAH MARIE JOHANNESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6121 DE ARMOUN RD, ANCHORAGE, AK 99516-3155
(425) 761-3956
Mailing address
6121 DE ARMOUN RD, ANCHORAGE, AK 99516-3155
(425) 761-3956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171334
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171334
RN
AK
Enumeration date
11/29/2022
Last updated
11/29/2022
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