Individual
JUDITH ELIZABETH DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2801 DEBARR RD, ALASKA REGIONAL HOSPITAL, ANCHORAGE, AK 99508-2932
(907) 276-1131
Mailing address
PO BOX 140427, ANCHORAGE, AK 99514-0427
(907) 338-2815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
025110-23
NH
367500000X
Certified Registered Nurse Anesthetist
101-0019794
VT
367500000X
Certified Registered Nurse Anesthetist
AA083008
ME
367500000X
Certified Registered Nurse Anesthetist
CRNA AA 110
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277245
HARVARD PILGRIM
—
01
—
40Y003095NH02
ANTHEM
—
05
—
RNA0013
—
AK
Enumeration date
08/12/2005
Last updated
06/06/2019
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