Individual
MRS. SANDRA LEE ANN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3976 UNIVERSITY LAKE DR STE 300, ANCHORAGE, AK 99508-4644
(907) 222-9930
(907) 222-9931
Mailing address
3976 UNIVERSITY LAKE DRIVE, STE 300, ANCHORAGE, AK 99508-4644
(907) 222-9930
(907) 222-9931
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
942
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581140
—
AK
Enumeration date
03/22/2007
Last updated
07/21/2022
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