Individual
CLAUDIA CHANTELLE MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
(907) 563-2045
Mailing address
5632 TUDOR SQUARE CT, ANCHORAGE, AK 99504-5305
(907) 947-5985
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
151984
AK
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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