Provider Demographics
NPI:1104432715
Name:STEVENS, SANIYE NUR ZEN (PHARMD)
Entity type:Individual
Prefix:
First Name:SANIYE
Middle Name:NUR ZEN
Last Name:STEVENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2165 W 29TH AVE APT 13
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1984
Mailing Address - Country:US
Mailing Address - Phone:907-441-4899
Mailing Address - Fax:
Practice Address - Street 1:1350 S SEWARD MERIDIAN PKWY
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8332
Practice Address - Country:US
Practice Address - Phone:907-376-9780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK147629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist