David Alaniz, FNP-C, CNOR

Individual provider Active NPI Family Nurse Practitioner · Jber, AK

NPI 1124436555 · NPPES record last updated Apr 2, 2015

Key facts

NPI
1124436555
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1525 (AK)
Practice address
1274A Airborne Dr
Jber, AK 99505-1078
Phone
(907) 580-1802
NPI assigned
Jul 29, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
800703TXMDRegistered Nurse
1525AKMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 800703 TX
Family Nurse Practitioner 363LF0000X 1525 AK Yes

Addresses

Primary practice location

1274A Airborne Dr
Jber, AK 99505-1078

Mailing address

1274A Airborne Dr
Jber, AK 99505-1078

Other providers in Jber, AK

All providers in Jber, AK · Family Nurse Practitioner in Alaska

Sources for this page

Verify at the official NPI Registry.