IndividualActive
Alyssa Prollock, RD
NPI 1215614409 · Oncology Nutrition Registered Dietitian · Fairbanks, AK
Provider details
- NPI number
- 1215614409
- Entity type
- Individual
- Primary specialty
- Oncology Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 208636 (AK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1640 Cowles St
Fairbanks, AK 99701-5908
Phone: (907) 458-5629
Approximate (ZIP-level) locationGet directions
Mailing address
3981 Buckeye Ln Apt 1
Fort Wainwright, AK 99703-1609
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2023-06-29
- Certified
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.