IndividualActive
Isaiah Rericha-Nicholson
NPI 1174239008 · Community Health Worker · Fairbanks, AK
Isaiah Rericha-Nicholson is a Community Health Worker provider in Fairbanks, AK (NPI 1174239008).
Provider details
- NPI number
- 1174239008
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Street-level locationGet directions
Mailing address
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.