CANON CLINIC LLC NPI 1528830965

NPI Information

  • NPI: 1528830965
  • Provider Name: CANON CLINIC LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Other Name: N/A
  • Address: 821 N ST STE 102
    ANCHORAGE, AK
    ZIP 99501
  • Phone: (907) 341-9771

Map and Directions

Get Directions

NPI Details

CANON CLINIC LLC is a family nurse practitioner in Anchorage, AK. CANON CLINIC LLC NPI is 1528830965. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is N/a.

The provider's business location address is:

821 N ST STE 102
ANCHORAGE, AK
ZIP 99501-285
Phone: (907) 341-9771

The provider's authorized official is Ngozi Njoku .
The authorized official title is Co-owner and has the following contact phone number (907) 341-9771.

The enumeration date for this NPI number is 10/30/2023 and was last updated on 12/1/2023.

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 PractitionerFamilyYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI