Individual
ELISE MICHELLE SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1353 W CHENA HILLS DR, FAIRBANKS, AK 99709-5752
(907) 750-9620
Mailing address
1353 W CHENA HILLS DR, FAIRBANKS, AK 99709-5752
(907) 750-9620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
233874
AK
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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