Healthcare Provider Details

I. General information

NPI: 1629046446
Provider Name (Legal Business Name): ANA VERZONE MS, FNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANA NEFF (MAIDEN NAME)

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 CLAY PRODUCTS DR.
ANCHORAGE AK
99517
US

IV. Provider business mailing address

3740 CLAY PRODUCTS DR.
ANCHORAGE AK
99517
US

V. Phone/Fax

Practice location:
  • Phone: 541-778-3462
  • Fax: 541-245-0127
Mailing address:
  • Phone: 541-778-3462
  • Fax: 541-245-0127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number200750159
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200450096NP
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: