IndividualActive
Allan Long, CRNA
NPI 1770533317 · Certified Registered Nurse Anesthetist · Fort Wainwright, AK
Provider details
- NPI number
- 1770533317
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 116420 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1060 Gaffney Rd Stop 7400
Fort Wainwright, AK 99703-5007
Phone: (907) 361-5532
Approximate (ZIP-level) locationGet directions
Mailing address
2505 Allen Adale Rd
Fairbanks, AK 99709-2581
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.