Individual provider · Type 1 NPI
Elizabeth Ann Commodore, RN
General Practice Registered Nurse · Juneau, AK
NPI number
1942328133
Active
Practice location
3245 Hospital Dr
Juneau, AK 99801-7809
Fax (907) 463-6663
Mailing address
8538 Forest Ln
Juneau, AK 99801-9055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 21097 (AK) |
General Practice Registered Nurse: Definition to come...
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About NPI 1942328133
Elizabeth Ann Commodore, RN's National Provider Identifier is 1942328133, issued on Mar 26, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Juneau, AK. The record was last updated on Jul 8, 2007.