Christian, Stephannie Nicole

Christian, Stephannie Nicole is an individual health care provider with primary practice located at 122 1St Ave Suite 600, Fairbanks AK 99701-4803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Christian, Stephannie Nicole can be contacted via phone (907) 452-8251.

Contact Information

Primary practice address
122 1St Ave Suite 600 Fairbanks AK 99701-4803
Phone: (907) 452-8251
Fax: (907) 459-3851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19107 California

Profile Details

NPI number 1760699011
LBN Legal business name Christian, Stephannie Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760699011 NPPES
California Other PA19107 PHYSICIAN ASST. LICENSE

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