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Individual

MRS. MARY ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
10928 EAGLE RIVER RD, STE 254, EAGLE RIVER, AK 99577-8038
(907) 694-5522
Mailing address
10928 EAGLE RIVER RD, STE 254, EAGLE RIVER, AK 99577-8038
(907) 694-5522

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1284
AK

Other

Enumeration date
06/15/2012
Last updated
11/15/2012
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