Individual
MS. ELLEN V OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
417-1ST AVE, SEWARD, AK 99664-0365
(907) 224-5205
Mailing address
PO BOX 365, 417-1ST AVE, SEWARD, AK 99664-0365
(907) 224-5205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
505
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL3490
—
AK
Enumeration date
12/19/2006
Last updated
10/18/2007
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