Provider Demographics
NPI:1508343153
Name:MADEIRA, ANJALI DHIR (DNP APRN CNM MPH)
Entity Type:Individual
Prefix:
First Name:ANJALI
Middle Name:DHIR
Last Name:MADEIRA
Suffix:
Gender:F
Credentials:DNP APRN CNM MPH
Other - Prefix:
Other - First Name:ANJALI
Other - Middle Name:DHIR
Other - Last Name:DOTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2616 36TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1744
Mailing Address - Country:US
Mailing Address - Phone:443-928-3531
Mailing Address - Fax:
Practice Address - Street 1:ALASKA NATIVE MEDICAL CENTER
Practice Address - Street 2:4315 DIPLOMACY DRIVE
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:443-928-3531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife