IndividualActive
Candice Grant-Gray
NPI 1063247534 · Peer Specialist · Fairbanks, AK
Provider details
- NPI number
- 1063247534
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4880 Old Airport Rd
Fairbanks, AK 99709-4456
Phone: (907) 313-1333
Approximate (ZIP-level) locationGet directions
Mailing address
591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062
Registry dates
- Enumerated
- 2024-09-04
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.