Individual
RICHARD C ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1300 E 4TH AVE, ANCHORAGE, AK 99501-2815
(907) 269-4234
(907) 269-4235
Mailing address
1300 E 4TH AVE, ANCHORAGE, AK 99501-2815
(907) 269-4234
(907) 269-4235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
742
AK
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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