Individual
TANYA M IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1626 30TH AVE, FAIRBANKS, AK 99701-7423
(907) 479-7701
(907) 479-7718
Mailing address
1626 30TH AVE, FAIRBANKS, AK 99701-7423
(907) 479-7701
(907) 479-7718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
30948
AK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1128
AK
Other
Enumeration date
01/15/2010
Last updated
08/07/2013
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