Individual
DR. ELLEN DEE FAUCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3505 E MERIDIAN PARK LOOP STE 100, WASILLA, AK 99654-7242
(907) 357-4963
Mailing address
3505 E MERIDIAN PARK LOOP STE 100, WASILLA, AK 99654-7242
(907) 746-5305
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2698
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0203
—
AK
Enumeration date
01/24/2007
Last updated
06/07/2021
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