Individual
LORIE J. PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
3851 PIPER ST STE U340, ANCHORAGE, AK 99508-6904
(907) 562-0321
(907) 562-2683
Mailing address
3851 PIPER ST STE U340, ANCHORAGE, AK 99508-6904
(907) 562-0321
(907) 562-2683
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209330
AK
363LA2200X
Adult Health Nurse Practitioner
209330
AK
363LG0600X
Gerontology Nurse Practitioner
209330
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1742763
—
AK
Enumeration date
04/13/2017
Last updated
02/04/2025
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