Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | OR | |
N | 363LA2200X | Nurse Practitioner - Adult Health | 556 | AK |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | OR | |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 556 | AK |
NPI | 1003855271 |
---|---|
Provider Name | Mindy Lorin Schloss |
First Address | Anchorage, AK 99522-1292 |
Second Address | Anchorage, AK 99502-2807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q17176 | (02) | AK |