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Contact Information

MARY ROSS, CNM
4115 LAKE OTIS PKWY
ANCHORAGE, AK99508-5213
 Phone: 907-563-7228
 Fax: 907-563-6278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for MARY ROSS · (Female)

NPI Number 1124015649
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 09/29/2005
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 191
  • AK Medicaid NM0191
  • AK Medicaid NP0174
  • AK Medicaid NP01741
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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