| Fairbanks Family Wellness,llc | |
|
3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | |
| (907) 479-2306 | |
| Not Available |
| Full Name | Fairbanks Family Wellness,llc |
|---|---|
| Type | Facility |
| Speciality | Naturopath |
| Location | 3550 Airport Way Ste 4, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285019869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 596 (Alaska) | Secondary |
| 171100000X | Acupuncturist | 152 (Alaska) | Secondary |
| 175F00000X | Naturopath | 40 (Alaska) | Primary |
| Provider Name | Leon J Fazzio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386922862 PECOS PAC ID: 8426224817 Enrollment ID: I20141216000797 |
| Provider Name | Laura A Ballou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811278484 PECOS PAC ID: 2860714698 Enrollment ID: I20160927001547 |
| Provider Name | Meeka Lockert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821660408 PECOS PAC ID: 2668878232 Enrollment ID: I20210907002110 |
| Provider Name | Sarah Elizabeth Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453140 PECOS PAC ID: 2466850466 Enrollment ID: I20211005003051 |
| Provider Name | Haley Evens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700404779 PECOS PAC ID: 5890183065 Enrollment ID: I20211021001240 |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Family Wellness,llc 3550 Airport Way #4, Fairbanks, AK 99709 Ph: (907) 479-2331 | Fairbanks Family Wellness,llc 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 Ph: (907) 479-2306 |