NPI 1013590751

Mackenzie Grover

Practitioner Community Health Worker Fairbanks, AK

Practice location

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

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alaska →

Registry record

NPI: 1013590751
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2021
Record last updated: 30 Apr 2021

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.