Whalio Doctors

NPI 1063820470

Angela Lucien, PAC

Practitioner Physician Assistant Fairbanks, AK

Practice location

Address
1717 W Cowles St, Fairbanks, AK 99701-5926
Phone
(907) 452-8251
Mailing address
201 1st Ave, Fairbanks, AK 99701-4848

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence AK1204 (AK)

Registry record

NPI
1063820470
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jul 2014
Record last updated
16 Nov 2017

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.