IndividualActive
Ellen Provost, DO
NPI 1053344572 · Internal Medicine Physician · Anchorage, AK
Provider details
- NPI number
- 1053344572
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 2717 (AK)
Practice location
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone: (907) 729-1500
Fax: (907) 729-2082
Mailing address
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2008-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.