Individual provider · Type 1 NPI

Sitha Lee Phanmanivong, RN

Registered Nurse · Anchorage, AK

NPI number 1518508290 Active

Practice location

670 W Fireweed Ln Ste 160
Anchorage, AK 99503-2561

Call (907) 770-0862 Map

Mailing address

6610 Desiree Loop
Anchorage, AK 99507-2229

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	NURR37958 (AK)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1518508290

Sitha Lee Phanmanivong, RN's National Provider Identifier is 1518508290, issued on Oct 3, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Anchorage, AK. The record was last updated on Oct 3, 2019.