Individual
ANDREA JEAN FITUTASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
13731 SE 26TH ST, MORRISTON, FL 32668-2708
(907) 290-1719
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
141041
AK
Other
Enumeration date
01/24/2019
Last updated
03/20/2020
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