Individual
SUSAN FON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E BENSON BLVD STE 313, ANCHORAGE, AK 99503-4019
(240) 780-1857
Mailing address
205 E BENSON BLVD STE 313, ANCHORAGE, AK 99503-4019
(240) 780-1857
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
234188
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95025405
CA
Other
Enumeration date
07/15/2024
Last updated
08/15/2025
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