IndividualActive
Bethany Brooks
NPI 1144093790 · Pediatric Nurse Practitioner · Fairbanks, AK
Provider details
- NPI number
- 1144093790
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 215639 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1875 University Ave S
Fairbanks, AK 99709-4916
Phone: (907) 328-0875
Approximate (ZIP-level) locationGet directions
Mailing address
872 Ridge Loop Rd Unit a
North Pole, AK 99705-5346
Registry dates
- Enumerated
- 2023-11-06
- Last updated
- 2023-11-06
- Certified
- 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.