Organization
FEISTY MARMOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KAY RAST (PRESIDENT)
(865) 474-0323
Entity
Organization
Contact information
Practice address
1867 AIRPORT WAY STE 215, FAIRBANKS, AK 99701-4062
(865) 474-0323
Mailing address
PO BOX 82163, FAIRBANKS, AK 99708-2163
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/17/2025
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