Unknown Individual – Pediatric Nurse Practitioner, NPI 1013982362
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Noble Street, Slaterville, Fairbanks, Fairbanks North Star, Alaska, 99701-6161, United States
FAIRBANKS, AK 997014922
Phone: (907) 459-3500
Fax: (907) 459-3554
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99701)
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