Individual
HALEY EVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 371-1777
Mailing address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 371-1777
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
133039
AK
363L00000X
Nurse Practitioner
162225
AK
363LF0000X
Family Nurse Practitioner
Primary
135795
AK
Other
Enumeration date
07/07/2020
Last updated
08/31/2022
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