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NPI Code Detail

MEDICARE: MS. ELIZABETH JANE VANALSTINE

MEDICARE: MS. ELIZABETH JANE VANALSTINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAK

General Provider Information

NPI Number : 1457924367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH JANE VANALSTINE
Provider Business Mailing Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number :
Provider Business Practice Location Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 07/19/2021

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Directions to “ MS. ELIZABETH JANE VANALSTINE ” Practice Location

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