NPI 1023008042

Heather Koponen, PAC

Practitioner Physician Assistant Fairbanks, AK

Practice location

Address: 1408 19th Ave, Fairbanks, AK 99701-5903
Phone: (907) 451-6682
Fax: (907) 459-3912

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 383 (AK)

Other Physician Assistant providers in Alaska →

Registry record

NPI: 1023008042
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2005
Record last updated: 13 Jul 2026

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.