Individual
MRS. FAITH M WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
122 FIRST AVE, SUITE 600, TANANA CHIEFS CONFERENCE, FAIRBANKS, AK 99701
(907) 452-8251
(907) 459-3884
Mailing address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20445
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
AK
Enumeration date
09/10/2007
Last updated
09/10/2007
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