Individual
MISTY LYNNE HOLACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1626 30TH AVE, FAIRBANKS, AK 99701-7466
(907) 479-7701
Mailing address
1626 30TH AVE, FAIRBANKS, AK 99701-7466
(907) 479-7701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
146031
AK
363L00000X
Nurse Practitioner
Primary
244058
AK
Other
Enumeration date
06/09/2025
Last updated
10/08/2025
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