Organization
TRAILHEAD MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JEANETTE ELL FNP-C (OWNER/MEMBER)
(303) 990-1432
Entity
Organization
Contact information
Practice address
729 NORTHWAY DR, ANCHORAGE, AK 99508-2030
(907) 644-3239
(907) 644-3983
Mailing address
729 NORTHWAY DR, ANCHORAGE, AK 99508-2030
(907) 644-3239
(907) 644-3983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/08/2023
Last updated
11/24/2025
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