Individual
MRS. HANNAH NICOLE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-5172
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34943
NE
Other
Enumeration date
02/12/2021
Last updated
08/16/2024
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