Individual
DR. NANCY MARIE GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3340 PROVIDENCE DR, SUITE A351, ANCHORAGE, AK 99508-4691
(907) 212-4824
(907) 212-6710
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
7334
AK
207QS0010X
Sports Medicine (Family Medicine) Physician
MD9413
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576969
—
AK
Enumeration date
03/16/2007
Last updated
10/28/2015
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