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Mary Depew, LPN

Licensed Practical Nurse in Anchorage, AK. Individual provider (NPI-1).

NPI number1164076725
StatusActive
Last updated in NPPESJul 31, 2019

Details

NPI
1164076725
Entity type
Individual (NPI-1)
Name
Mary Depew
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2019
Last updated
Jul 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseNURP6127AKYes

Practice location

1650 Bragaw St
Anchorage, AK 99508-3435

Phone 907-433-7341 · Fax 907-433-7393

Mailing address

1650 Bragaw St
Anchorage, AK 99508-3435

Phone 907-433-7341 · Fax 907-433-7341

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