Healthcare Provider Details

I. General information

NPI: 1124662176
Provider Name (Legal Business Name): ANNA NICHOLE HUNTER RN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA NICHOLE LOWSTETTER RN

II. Dates (important events)

Enumeration Date: 11/03/2019
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W TUDOR RD STE 7
ANCHORAGE AK
99503-6649
US

IV. Provider business mailing address

510 W TUDOR RD STE 7
ANCHORAGE AK
99503-6649
US

V. Phone/Fax

Practice location:
  • Phone: 907-349-7744
  • Fax:
Mailing address:
  • Phone: 907-349-7744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019042202
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number205772
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: