IndividualActive
Carl Johnson, LPN
NPI 1831383520 · Licensed Practical Nurse · Fairbanks, AK
Provider details
- NPI number
- 1831383520
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 5464 (AK)
Specialties & taxonomies
Nursing Service Providers
Practice location
1867 Airport Way
Suite 215
Fairbanks, AK 99701-4062
Phone: (907) 456-1434
Fax: (907) 456-1481
Approximate (ZIP-level) locationGet directions
Mailing address
1867 Airport Way
Fairbanks, AK 99701-4062
Registry dates
- Enumerated
- 2007-09-05
- Last updated
- 2013-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.