IndividualActive
Shana Edwin, RN
NPI 1417401183 · Addiction (Substance Use Disorder) Registered Nurse · Fairbanks, AK
Provider details
- NPI number
- 1417401183
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 15115 (AK)
Specialties & taxonomies
Nursing Service Providers
Practice location
650 Younker Ct
Fairbanks, AK 99701-7586
Phone: (907) 456-1053
Approximate (ZIP-level) locationGet directions
Mailing address
650 Younker Ct
Fairbanks, AK 99701-7586
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.