NPI 1003706581

Ethan Hart

Practitioner Community Health Worker Fairbanks, AK

Practice location

Address: 209 Forty Mile Ave, Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Fax: (907) 456-6402

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alaska →

Registry record

NPI: 1003706581
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2025
Record last updated: 7 Jul 2025

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.