Doctor Name: | MRS. BRENDA LEE STURM |
NPI Number: | 1073635454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN MSN |
License Number: | 13947 |
Business Practice Address: | 3245 Hospital Dr Juneau, AK - 998017809 |
Business Phone Number: | 9074634010 |
Business Fax Number: | 9074634083 |
Mailing Address: | 10200 Heron Way, JUNEAU |
State: | AK |
Postal Code: | 998018748 |
Phone Number: | 9074634010 |
Fax Number: | 9074634083 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | 13947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |