Individual
JANICE L STABLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP
Contact information
Practice address
1867 AIRPORT WAY, STE 110B, FAIRBANKS, AK 99701-4054
(907) 452-6330
(907) 452-6335
Mailing address
1867 AIRPORT WAY, STE 110B, FAIRBANKS, AK 99701-4054
(907) 452-6330
(907) 452-6335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
420
AK
363LF0000X
Family Nurse Practitioner
Primary
420
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K152456
INDIVIDUAL MEDICARE PIN
AK
05
—
NP0420-1
—
AK
Enumeration date
05/27/2005
Last updated
10/12/2007
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