Sally L Coburn, NP is a
Nurse Practitioner - Family based in Anchorage, Alaska. Sally L Coburn is licensed to practice in Alaska (license number 335) and her current practice location is
3300 Arctic Blvd, Ste 101, Anchorage, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 561-3488.
NPI number for Sally L Coburn is 1063535045 and her current mailing address is 18828 Moose Pl, Chugiak, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063535045.
Healthcare Provider's Profile
| Full Name | Sally L Coburn |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3300 Arctic Blvd, Anchorage, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063535045
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 08/17/2020
Medical Identifiers
Medical identifiers for Sally L Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063535045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 335 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sally L Coburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sally L Coburn, NP
18828 Moose Pl,
Chugiak, AK 99567-6645
Ph: (907) 854-8840 | Sally L Coburn, NP
3300 Arctic Blvd, Ste 101,
Anchorage, AK 99503-4523
Ph: (907) 561-3488 |
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