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BOREALIS LIFE LLC NPI 1700591831


NPI Information

NPI: 1700591831
Provider Name: BOREALIS LIFE, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2501 E 42ND AVE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 206-4689
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BOREALIS LIFE, LLC is an obstetrics gynecology in Anchorage, AK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BOREALIS LIFE, LLC NPI is 1700591831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 E 42ND AVE
ANCHORAGE, AK
ZIP 99508-369
Phone: (907) 206-4689
Fax: (907) 206-7426

The provider's authorized official is Britni Stickle .
The authorized official title is Practice Manager and has the following contact phone number (907) 206-4689.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 5/11/2023.


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
1207V00000XObstetrics & GynecologyYes

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: 5/5/2024

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