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Individual

MS. VIENA' S VERTEFEUILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
14002
AK
163WD0400X
Diabetes Educator Registered Nurse
14002
AK
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
14002
AK

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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