IndividualActive
Elaine Ponchione, ANP, RN, PSY. A.
NPI 1720162332 · Psychiatric/Mental Health Nurse Practitioner · Fairbanks, AK
Provider details
- NPI number
- 1720162332
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP, RN, PSY. A.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 491 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Nursing Service Providers
Practice location
250 Cushman St Ste 3c
Fairbanks, AK 99701-4665
Phone: (907) 455-7801
Fax: (907) 455-7803
Approximate (ZIP-level) locationGet directions
Mailing address
250 Cushman St
Fairbanks, AK 99701-4640
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2011-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.