Individual
FRANCES ANN PENVENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 E 88TH AVE STE 200, ANCHORAGE, AK 99507-3879
(907) 258-3446
Mailing address
2000 E 88TH AVE STE 200, PO BOX 103296, ANCHORAGE, AK 99507-3879
(907) 258-3446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
271
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL3490
—
AK
Enumeration date
01/14/2008
Last updated
01/14/2008
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