Most Relevant Information
Provider Data
| NPI Number: | 1003036500 |
| Provider Name: | SANDY MARIE STAGELMAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WI0500X |
| Specialty: | Registered Nurse |
| License Number: | 19568 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3101 PENLAND PKWY
SUITE J11
ANCHORAGE
AK
995081906
Practice Location Phone/Fax
| Phone: | 9073348535 |
| Fax: | 9072798032 |
Provider Mailing Location
3810 MARCY CT
ANCHORAGE
AK
995022835
Provider Mailing Phone/Fax
| Phone: | 9077706224 |
| Fax: | 9077701692 |