Organization
NURSES DIVERSIFIED SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A LYONS ANP (DIRECTOR)
(907) 750-8114
Entity
Organization
Contact information
Practice address
815 2ND AVE STE 122, FAIRBANKS, AK 99701-4469
(907) 374-0852
(907) 374-0854
Mailing address
PO BOX 72376, FAIRBANKS, AK 99707-2376
(907) 750-8114
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1249
AK
Other
Enumeration date
01/10/2012
Last updated
08/16/2021
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