NEW ROOTS LLC NPI 1831778539

NPI Information

NEW ROOTS, LLC is a health service clinic center in Fairbanks, AK. NEW ROOTS, LLC NPI is 1831778539. The provider is registered as an organization entity type.

The provider's business location address is:

1681 WOLVERINE LN
FAIRBANKS, AK
ZIP 99709-630
Phone: (907) 378-4833

The provider's authorized official is Dara Brann .
The authorized official title is Ceo and has the following contact phone number (907) 378-4833.

The enumeration date for this NPI number is 4/8/2021 and was last updated on 4/27/2021.

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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