Organization
ALPINE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY EVENS NP (AUTHORIZED OFFICIAL)
(907) 455-4555
Entity
Organization
Contact information
Practice address
605 CHIEF THOMAS DR, FAIRBANKS, AK 99709-4848
(907) 455-4555
(833) 941-2349
Mailing address
605 CHIEF THOMAS DR, FAIRBANKS, AK 99709-4848
(907) 455-4555
(833) 941-2349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/29/2021
Last updated
09/04/2025
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