HEIDE M PROVENCHER
Nurses - Authorized Advanced Nurse Practitioner
Alaska 1343 Licensed
This Alaska license is held by HEIDE M PROVENCHER. The license is currently active. It was granted on 02/01/2013 and expired on 11/30/2016
LICENSE DETAILS
- License Number: 1343
- Category: Authorized ADVANCED NURSE PRACTITIONER
- Status: Licensed
- Date Granted: 02/01/2013 (over 11 years ago)
- Expiry Date: 11/30/2016 (over 7 years ago)
LOCATIONS
A Address
2437 INGRA ST. ANCHORAGE AK 99508
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