Individual
RYAN HARTVIGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1200 COLUMBINE CT APT 72, ANCHORAGE, AK 99508-2020
(907) 297-9358
Mailing address
1200 COLUMBINE CT APT 72, ANCHORAGE, AK 99508-2020
(907) 297-9358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NURP6893
AK
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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