Greenwell, Nancy Marie

Greenwell, Nancy Marie is an individual health care provider with primary practice located at 3340 Providence Dr Suite A351, Anchorage AK 99508-4691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Greenwell, Nancy Marie can be contacted via phone (907) 212-4824.

Contact Information

Primary practice address
3340 Providence Dr Suite A351 Anchorage AK 99508-4691
Phone: (907) 212-4824
Fax: (907) 212-6710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD9413 Hawaii
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 7334 Alaska

Profile Details

NPI number 1932223047
LBN Legal business name Greenwell, Nancy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Oct 28th, 2015 - about 10 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 1932223047 NPPES
Alaska MEDICAID 1576969

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