MARINA NEDOM


Address: 2501 Brooke Dr, Anchorage, AK 99517-1252
Phone: 9072783648

MARINA NEDOM (NPI# 1144763160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144763160
Entity Type Individual
Full Name MARINA NEDOM
Credential APRN
Practice Address 2501 Brooke Dr
Anchorage
AK 99517-1252
Practice Telephone 9072783648
Mailing Telephone 9072783648
Enumeration Date 2016-11-22
Last Update Date 2016-11-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
116629 AK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2501 BROOKE DR
City ANCHORAGE
State AK
Zip Code 99517-1252

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ANCHORAGE
Zip Code 99517

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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