Fasdx Services Llc

NPI 1720488612 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1720488612
Enumeration Date 08/27/2014
Last Updated 12/08/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARILYN MARILYN
Position OWNER MANAGER
Phone (907) 865-3279
Fax (907) 865-7979
Practice Location
405 E. FIREWEED LANE, SUITE 205
ANCHORAGE AK, 99503-2145, US
Phone (907) 865-3279
Fax (907) 865-7979
Business Location
405 E. FIREWEED LANE, SUITE 205
ANCHORAGE AK, 99503-2145, US
Phone (907) 865-3279
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Alaska
License Number 108
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According to our database, Fasdx Services Llc NPI is 1720488612, taxonomy code is 363LF0000X and license number is 108, license state is located at Alaska. Fasdx Services Llc physically located at 405 E. Fireweed Lane, Suite 205, Anchorage AK, 99503-2145. NPI Number 1033115704 has the healthcare provider type.

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1720488612 NPI number is provided on an as is basis without warranty of any kind. 1720488612 is maintained by the National Plan & Provider Enumeration System. The contents of Fasdx Services Llc are for informational purposes only.