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General NPI Number Information
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NPI Number | 1609957349
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Entity Type | Organization
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Legal Business Name | NORTHERN NURSING SERVICES, INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 36121 MAYONI STREET
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City | SOLDOTNA
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State | AK
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Zip | 99669-4267
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Country | US
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Telephone | 907-260-9027
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Fax | 907-260-6905
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Provider Business Mailing Address
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Address Line | PO BOX 4267 36121 MAYONI STREET
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City | SOLDOTNA
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State | AK
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Zip | 99669-4267
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Country | US
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Telephone | 907-260-9027
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Fax | 907-260-6905
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY NELL NELSON
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Credential | CNM, ANP
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Telephone | 907-260-9027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 438
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License Number State | AK
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