IndividualActive
James Andrulli, PA-C
NPI 1710968656 · Medical Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1710968656
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 160 (AK)
Practice location
1408 19th Ave
Fairbanks, AK 99701-5903
Phone: (907) 451-6682
Fax: (907) 459-3911
Mailing address
1408 19th Ave
Fairbanks, AK 99701-5903
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2007-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.