Individual
ANNA FATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5165 PALO VERDE AVE, FAIRBANKS, AK 99709-3130
(908) 590-2598
Mailing address
5165 PALO VERDE AVE, FAIRBANKS, AK 99709-3130
(908) 590-2598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102063
AK
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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