MARY ELLEN DEGANGE RN NPI 1073174298

NPI Information

NPI: 1073174298
Provider Name: MARY ELLEN DEGANGE, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1015 E 6TH AVE
ANCHORAGE, AK
ZIP 99501
Phone: (907) 276-6430
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Mary Ellen Degange, RN is an addiction (substance use disorder) registered nurse in Anchorage, AK. Mary Ellen Degange, RN NPI is 1073174298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1015 E 6TH AVE
ANCHORAGE, AK
ZIP 99501-748
Phone: (907) 276-6430
Fax: (907) 276-3637

The enumeration date for this NPI number is 6/27/2019 and was last updated on 6/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	22860	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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