Individual
MS. MICHELLE ANN ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3719 E MERIDIAN LOOP STE F, WASILLA, AK 99654-7273
(907) 373-5940
(907) 373-5947
Mailing address
3719 E MERIDIAN LOOP STE F, WASILLA, AK 99654-7273
(907) 373-5940
(907) 373-5947
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
25227
AK
363LF0000X
Family Nurse Practitioner
Primary
142818
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912343815
—
AK
Enumeration date
05/17/2013
Last updated
05/27/2020
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