Organization
AWAKEN JOY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA JOY DONOFRY DNP (MANAGING MEMBER)
(907) 328-0820
Entity
Organization
Contact information
Practice address
565 UNIVERSITY AVE STE 1, FAIRBANKS, AK 99709-3687
(907) 328-0820
(907) 328-0850
Mailing address
565 UNIVERSITY AVE STE 1, FAIRBANKS, AK 99709-3687
(907) 328-0820
(907) 328-0850
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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