Marjorie Grierson Allan, A.N.P.
Individual provider Active NPI Women's Health Nurse Practitioner · Fairbanks, AK
NPI 1720189889 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720189889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 202 (AK)
- Practice address
- 1919 Lathrop St Ste 100
Fairbanks, AK 99701-5937 - Phone
- (907) 452-1761
- NPI assigned
- Sep 25, 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202 | AK | MD | Optometrist |
Interoperability endpoints
- marjorieallananp@fairbanksc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 202 | AK | Yes |
Addresses
Primary practice location
1919 Lathrop St Ste 100
Fairbanks, AK 99701-5937
Mailing address
280 Crystal Rd
Fairbanks, AK 99712-1248
Phone (907) 456-6637
Other providers in Fairbanks, AK
- Gregory Charles Alexander
- Hannah Micaela Alexander
- Laverne L Alexander
- Sierra Alexander
- Alfred D Deramus MD a Professional Corporation
- Beverly Allen-Majors
- Alissa Merrily Allen
- Angela Allen
- Angela Renae Allen
- Debra Denise Allen
All providers in Fairbanks, AK · Women's Health 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.