IndividualActive
Adam Corneliussen, PA-C
NPI 1821490301 · Medical Physician Assistant · Anchorage, AK
Provider details
- NPI number
- 1821490301
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 104245 (AK)
Practice location
3801 Lake Otis Pkwy
Suite 300
Anchorage, AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
Mailing address
3801 Lake Otis Pkwy
Anchorage, AK 99508-5234
Registry dates
- Enumerated
- 2014-09-16
- Last updated
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.