Fenderson, Laurie Elizabeth

Fenderson, Laurie Elizabeth is an individual health care provider with primary practice located at Alaska Native Medical Center 4315 Diplomacy Drive, Anchorage AK 99508. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Fenderson, Laurie Elizabeth can be contacted via phone (907) 729-1070.

Contact Information

Primary practice address
Alaska Native Medical Center 4315 Diplomacy Drive Anchorage AK 99508
Phone: (907) 729-1070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0050-00974 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 681462 Texas

Profile Details

NPI number 1962625921
LBN Legal business name Fenderson, Laurie Elizabeth
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962625921 NPPES
Texas MEDICAID 287667401

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