IndividualActive
Crystal Stordahl, PHYSICIAN ASSISTANT
NPI 1760505192 · Medical Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1760505192
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 518 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1408 19th Ave
Fairbanks, AK 99701-5903
Phone: (907) 452-8251
Fax: (907) 459-3978
Approximate (ZIP-level) locationGet directions
Mailing address
201 1st Ave
Fairbanks, AK 99701-4848
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.