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Individual

BREANNA O'FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3051 VINTAGE BLVD, JUNEAU, AK 99801
(907) 364-4445
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-4040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167987
AK
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
167987
AK

Other

Enumeration date
05/06/2024
Last updated
05/06/2024
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