Individual
MARIANNE JOHNSTONE-PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3200 PROVIDENCE DR, SUITE B111, ANCHORAGE, AK 99508-4615
(907) 212-7997
(907) 212-8225
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1189
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571407
—
AK
01
—
1730113739
PATIENTS FIRST MEDICAL CLINIC LLC - TYPE 2
AK
Enumeration date
12/13/2010
Last updated
06/13/2025
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