Individual
SHAWNA WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
3801 UNIVERSITY LAKE DR, ANCHORAGE, AK 99508-4639
(907) 563-8876
(907) 762-6315
Mailing address
3801 UNIVERSITY LAKE DR, ANCHORAGE, AK 99508-4639
(907) 563-8876
(907) 762-6315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
575
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8017
—
AK
Enumeration date
01/26/2006
Last updated
07/08/2007
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