Individual
JULIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4361 BONIFACE PKWY STE 2, ANCHORAGE, AK 99504-4314
(907) 802-6500
(907) 268-3830
Mailing address
4361 BONIFACE PKWY STE 2, ANCHORAGE, AK 99504-4314
(907) 802-6500
(907) 268-3830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
126741
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1676731
—
AK
Enumeration date
10/16/2017
Last updated
10/02/2019
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