MS. STACEY REYNOLDS DAHL APRN FNP-C NPI 1396342895

NPI Information

  • NPI: 1396342895
  • Provider Name: MS. STACEY REYNOLDS DAHL, APRN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 103 FRAM TREET
    PETERSBURG, AK
    ZIP 99833
  • Phone: (907) 772-4291

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NPI Details

MS. Stacey Reynolds Dahl, APRN, FNP-C is a family nurse practitioner in Petersburg, AK. MS. Stacey Reynolds Dahl, APRN, FNP-C NPI is 1396342895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 FRAM TREET
PETERSBURG, AK
ZIP 99833-589
Phone: (907) 772-4291
Fax: (907) 773-3085

The NPI 1396342895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2020 and was last updated on 10/7/2020.

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
1363LF0000XNurse PractitionerFamily163327ALASKAYes

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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