FEISTY MARMOT LLC NPI 1053275545

NPI Information

  • NPI: 1053275545
  • Provider Name: FEISTY MARMOT, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1867 AIRPORT WAY STE 215
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (865) 474-0323

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NPI Details

FEISTY MARMOT, LLC is a psychiatric/mental health nurse practitioner in Fairbanks, AK. FEISTY MARMOT, LLC NPI is 1053275545. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1867 AIRPORT WAY STE 215
FAIRBANKS, AK
ZIP 99701-062
Phone: (865) 474-0323

The provider's authorized official is Stephanie Kay Rast .
The authorized official title is President and has the following contact phone number (865) 474-0323.

The enumeration date for this NPI number is 12/10/2025 and was last updated on 12/17/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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