NPI 1215614409

Alyssa Prollock, RD

Practitioner Oncology Nutrition Registered Dietitian Fairbanks, AK

Practice location

Address: 1640 Cowles St, Fairbanks, AK 99701-5908
Phone: (907) 458-5629
Mailing address: 3981 Buckeye Ln APT 1, Fort Wainwright, AK 99703-1609

Registered specialties

Oncology Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1301X Licence 208636 (AK)

Other Dietitian, Registered providers in Alaska →

Registry record

NPI: 1215614409
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2023
Record last updated: 29 Jun 2023

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.