NPI 1851744239

Monique Pednault

Organisation Exclusive Provider Organization Anchorage, AK

Practice location

Address: 3315 Fairbanks St, Anchorage, AK 99503-4145
Phone: (907) 277-2000
Mailing address: PO Box 111116, Anchorage, AK 99511-1116

Authorised official

Name: Monique Pednault
Title: Sole Provider
Phone: (907) 444-1749

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 102482 (AK)

Other Exclusive Provider Organization providers in Alaska →

Registry record

NPI: 1851744239
Entity type: Organization
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.