Individual
KRISTEL TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3120 W 79TH AVE, ANCHORAGE, AK 99502-4406
(907) 929-3120
(907) 929-3121
Mailing address
11950 SUNCREST DR, ANCHORAGE, AK 99515-3129
(907) 227-5306
(907) 929-3121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101221
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814482636
—
AK
Enumeration date
03/02/2017
Last updated
03/02/2017
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