NPI 1134408586
Lynda Jean Purvis, CDCI
Practice location
- Address
- 1521 S Cushman St, Fairbanks, AK 99701-6203
- Phone
- (907) 452-8251
- Mailing address
- 1101 Lakeview Ter, Fairbanks, AK 99701-7719
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1134408586
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Aug 2011
- Record last updated
- 5 May 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.