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Individual

MRS. SANDRA ANNE TZVETCOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4100 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5229
(907) 550-6100
Mailing address
PO BOX 241062, ANCHORAGE, AK 99524-1062
(425) 358-0012

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00132233
WA
163W00000X
Registered Nurse
RN352
AK
367500000X
Certified Registered Nurse Anesthetist
Primary
30375
AK
367500000X
Certified Registered Nurse Anesthetist
AP30005078
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9624685
WA
Enumeration date
07/20/2005
Last updated
10/13/2010
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