Individual
DEBORAH M O'LOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8140
(907) 228-8468
Mailing address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8140
(907) 228-8468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
789
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789
PROFESSIONAL LICENSE
AK
Enumeration date
10/27/2011
Last updated
10/27/2011
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