Lynn Gillitzer-Grover
Individual provider Active NPI Community Health Worker · Fairbanks, AK
NPI 1275210684 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1275210684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1825 Marika Rd
Fairbanks, AK 99709-5521 - Phone
- (907) 474-0890
- Fax
- (907) 474-3621
- NPI assigned
- Jun 28, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1825 Marika Rd
Fairbanks, AK 99709-5521
Mailing address
1825 Marika Rd
Fairbanks, AK 99709-5521
Phone (907) 474-0890
Other providers in Fairbanks, AK
- Jason Douglas Gillam
- Amy Gillespie
- Kenneth Gillespie
- Janet L Gilling
- Karin Gillis
- Barbara Gilson
- Madison Gingrow
- Chastity Lil Ginnis
- Jeremy Gipson
- Patricia Anne Givens
All providers in Fairbanks, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. 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.