Individual
ELLA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 459-3800
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 459-3800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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