NPI 1205301421

Mitchell Ryan Andreas, PHYSICIANASSISTANT

Practitioner Physician Assistant Fort Wainwright, AK

Practice location

Address: 4076 Neely Rd; Bldg 4076; Room 1b-201, Fort Wainwright, AK 80906-4102
Phone: (907) 361-4000
Mailing address: 4076 Neely Road, Fort Wainwright, AK 99703

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 233899 (AK)

Other Physician Assistant providers in Alaska →

Registry record

NPI: 1205301421
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2018
Record last updated: 13 Mar 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.