IndividualActive
Aaron Wallace
NPI 1972250298 · Community Health Worker · Fairbanks, AK
Provider details
- NPI number
- 1972250298
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Approximate (ZIP-level) locationGet directions
Mailing address
209 Forty Mile Ave
Fairbanks, AK 99701-3110
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.