IndividualActive
Amond Tilley
NPI 1265320873 · Community Health Worker · Fairbanks, AK
Provider details
- NPI number
- 1265320873
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3101 Lathrop St
Fairbanks, AK 99701-7426
Phone: (907) 474-0890
Fax: (907) 474-3621
Approximate (ZIP-level) locationGet directions
Mailing address
3101 Lathrop St
Fairbanks, AK 99701-7426
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.