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Mr. Theodore Yngve Korsgren III, LPN
Licensed Practical Nurse in Fairbanks, Alaska
NPI 1497942585

Theodore Yngve Korsgren III is a Licensed Practical Nurse based in Fairbanks, AK. Theodore Yngve Korsgren III practices in Fairbanks, AK and has the professional credentials of LPN. The NPI Number for Theodore Yngve Korsgren III is 1497942585 and holds a License No. 5364 (Alaska).

The current practice location address for Theodore Yngve Korsgren III is 1717 W. Cowles St., Fairbanks, AK and can be reached out via phone at 907-451-6682.

Location: 1717 W. Cowles St., Fairbanks, AK, 99701-5903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497942585
Provider Name
Theodore Yngve Korsgren III
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
1717 W. Cowles St., Fairbanks, AK, 99701-5903
Phone Number
907-451-6682
Fax Number
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 W. Cowles St.
City
Fairbanks
State
Alaska
Zip
99701-5903
Phone Number
907-451-6682
Fax Number
person
Provider Business Mailing Address Details
Address
1717 W. Cowles St.
City
Fairbanks
State
Alaska
Zip
99701-5903
Phone Number
907-451-6682
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
5364 (Alaska)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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