Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | AA1470 | AK |
N | 111NI0900X | Internist | AA1470 | AK |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | AA1470 | AK |
NPI | 1073799243 |
---|---|
Provider Name | Patrick M Nolan |
First Address | Anchorage, AK 99508-4608 |
Second Address | Anchorage, AK 99508-4608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 10/05/2021 |