Healthcare Provider Details

I. General information

NPI: 1558322404
Provider Name (Legal Business Name): KATHRYN E SEXSON ANP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 10/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 DEBARR RD B-360
ANCHORAGE AK
99508-2952
US

IV. Provider business mailing address

2751 DEBARR RD B-360
ANCHORAGE AK
99508-2952
US

V. Phone/Fax

Practice location:
  • Phone: 907-277-4584
  • Fax: 907-277-3342
Mailing address:
  • Phone: 907-277-4584
  • Fax: 907-277-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number840
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: