Individual
HANNAH MARIANNE SYBIL DERAEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 460-0494
Mailing address
5640 E 98TH AVE, ANCHORAGE, AK 99507-6612
(907) 460-0494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132706
AK
363L00000X
Nurse Practitioner
Primary
210627
AK
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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