ALPINE MEDICAL GROUP LLC NPI 1114681608

NPI Information

ALPINE MEDICAL GROUP LLC is a family nurse practitioner in Fairbanks, AK. ALPINE MEDICAL GROUP LLC NPI is 1114681608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1405 KELLUM ST STE 101
FAIRBANKS, AK
ZIP 99701-189
Phone: (907) 455-4555
Fax: (833) 941-2349

The provider's authorized official is Haley Evens .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (907) 799-9069.

The CLIA number assigned to this NPI record is 02D2271966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 8/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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