Individual
MICHELLE THIBODEAU HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 563-2662
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 563-2662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
486
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0486
—
AK
Enumeration date
08/20/2006
Last updated
09/17/2008
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