Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 42 | AK |
N | 176B00000X | Midwife | 38 | AK |
NPI | 1003974320 |
---|---|
Provider Name | Deborah Anne Gillespie |
First Address | Juneau, AK 99801-1845 |
Second Address | Juneau, AK 99801-1845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NM98881 | (05) | AK |