Sharon Ann Banicki, ANP
Individual provider Active NPI Nurse Practitioner · Anchorage, AK
NPI 1215044532 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215044532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 584 (AK)
- Practice address
- 1200 Airport Heights Dr
Suite 280
Anchorage, AK 99508 - Phone
- (907) 339-9700
- Fax
- (907) 339-9720
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584 | AK | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 584 | AK | Yes |
Addresses
Primary practice location
1200 Airport Heights Dr
Suite 280
Anchorage, AK 99508
Mailing address
19739 War Admiral Rd
Eagle River, AK 99577
Phone (907) 696-1697
Other providers in Anchorage, AK
- Alexis Banda
- Arnoldtai K Bandith
- Betty Louise Bang
- Jennifer Bang
- Moriah Bang
- Chrystel Meranda Bankhead
- Elise M Bankowski
- Genesis Banks-Moore
- Barbara Banks
- Barrett Banks
All providers in Anchorage, AK · Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.