Individual
SUSAN LYNNE PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 CHANDALAR DR, ANCHORAGE, AK 99504-3510
(907) 952-4322
Mailing address
2451 CHANDALAR DR, ANCHORAGE, AK 99504-3510
(907) 962-4322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12409
AK
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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