Individual
PENNY ANN VANARSDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-5900
(907) 361-4835
Mailing address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 361-5900
(907) 361-4835
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
25932
AK
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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