HEATHER ELLISON BROCK

ANCHORAGE, AK
NPI1992712442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AK  751)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AK  751)
Enumeration Date2006-08-01
Last Update Date2024-02-22
Business Address
HEATHER ELLISON BROCK ANP
3760 PIPER ST STE 1108
ANCHORAGE, AK 99508-4683
Phone number: 907-212-6900
Mailing Address
HEATHER ELLISON BROCK ANP
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068