PETALOSO INC NPI 1982059952

NPI Information

  • NPI: 1982059952
  • Provider Name: PETALOSO INC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: PETALOSO
  • Address: 1867 AIRPORT WAY STE 110B
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (907) 978-7721

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NPI Details

PETALOSO INC is a family nurse practitioner in Fairbanks, AK. PETALOSO INC NPI is 1982059952. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Petaloso.

The provider's business location address is:

1867 AIRPORT WAY STE 110B
FAIRBANKS, AK
ZIP 99701-054
Phone: (907) 978-7721
Fax: (907) 452-6330

The provider's authorized official is Janice L Stables .
The authorized official title is President and has the following contact phone number (907) 978-7721.

The enumeration date for this NPI number is 4/27/2016 and was last updated on 4/27/2016.

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 PractitionerFamily420ALASKAYes

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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