Individual
STACEY L MANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 CRAIG KLAWOCK HIGHWAY, CRAIG, AK 99921-0130
(907) 826-3433
(907) 826-3435
Mailing address
PO BOX 130, CRAIG, AK 99921-0130
(907) 826-3433
(907) 826-3435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23578
AK
363LF0000X
Family Nurse Practitioner
812
AK
Other
Enumeration date
10/16/2007
Last updated
03/13/2015
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