Individual
WANATSANAN SOMKANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2211 E NORTHERN LIGHTS BLVD STE 101, ANCHORAGE, AK 99508-4192
(907) 279-8486
(907) 677-5614
Mailing address
2211 E NORTHERN LIGHTS BLVD STE 101, ANCHORAGE, AK 99508-4192
(907) 279-8486
(907) 677-5614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
145453
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004348
—
AK
Enumeration date
06/04/2019
Last updated
03/13/2023
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