Individual
MIA GRACE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1500 DEBARR CIR, ANCHORAGE, AK 99508-2984
(907) 258-7575
Mailing address
8936 MAST CIR, ANCHORAGE, AK 99502-5589
(720) 989-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215563
AK
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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