IndividualActive
Kristina Ellis, PA-C
NPI 1104440585 · Surgical Physician Assistant · Anchorage, AK
Provider details
- NPI number
- 1104440585
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 204589 (AK)
Practice location
4100 Lake Otis Pkwy Ste 320
Anchorage, AK 99508-5231
Phone: (907) 563-4810
Fax: (907) 563-4811
Mailing address
4100 Lake Otis Pkwy Ste 320
Anchorage, AK 99508-5231
Registry dates
- Enumerated
- 2020-06-02
- Last updated
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.