OrganizationActive
Alpine Medical Group LLC
NPI 1114681608 · Family Nurse Practitioner · Fairbanks, AK
Provider details
- NPI number
- 1114681608
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Haley Evens, Authorized Official(907) 455-4555
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
605 Chief Thomas Dr
Fairbanks, AK 99709-4848
Phone: (907) 455-4555
Fax: (833) 941-2349
Approximate (ZIP-level) locationGet directions
Mailing address
605 Chief Thomas Dr
Fairbanks, AK 99709-4848
Additional practice locations (1)
- 2054 30th AveFairbanks, AK 99701-7316Phone: (907) 455-4555Fax: (833) 941-2349
Registry dates
- Enumerated
- 2021-10-29
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.