Individual
MICA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
3030 DENALI ST STE 10, ANCHORAGE, AK 99503-4042
(907) 344-4900
(907) 344-1218
Mailing address
3030 DENALI ST STE 10, ANCHORAGE, AK 99503-4042
(907) 344-4900
(907) 344-1218
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
163597
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677067
—
AK
Enumeration date
12/01/2020
Last updated
12/01/2020
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