Individual
VANESSA SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44332 STERLING HWY STE 42, SOLDOTNA, AK 99669-8065
(907) 260-4444
(907) 331-0490
Mailing address
36544 MISS VANESSA CT, SOLDOTNA, AK 99669-8663
(907) 740-3999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138769
AK
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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