Ms Crystal Lee Stordahl, PHYSICIAN ASSISTANT - Physician Assistant in Fairbanks, AK

Ms Crystal Lee Stordahl, PHYSICIAN ASSISTANT is a Physician Assistant - Medical based in Fairbanks, Alaska. Ms Crystal Lee Stordahl is licensed to practice in Alaska (license number 518) and her current practice location is 1408 19th Ave, Fairbanks, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 452-8251.

NPI number for Ms Crystal Lee Stordahl is 1760505192 and her current mailing address is 201 1st Ave, Suite 300, Fairbanks, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760505192.

Contact Information

Ms Crystal Lee Stordahl, PHYSICIAN ASSISTANT
1408 19th Ave,
Fairbanks, AK 99701-5903
(907) 452-8251
(907) 459-3978

Map and Direction




Provider's Profile

Full NameMs Crystal Lee Stordahl
GenderFemale
SpecialityPhysician Assistant - Medical
Location1408 19th Ave, Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760505192
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Crystal Lee Stordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760505192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 518 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Crystal Lee Stordahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Crystal Lee Stordahl, PHYSICIAN ASSISTANT
201 1st Ave, Suite 300,
Fairbanks, AK 99701-4848

Ph: (907) 452-8251
Ms Crystal Lee Stordahl, PHYSICIAN ASSISTANT
1408 19th Ave,
Fairbanks, AK 99701-5903

Ph: (907) 452-8251

Reviews and Comments


Physician Assistant Nurses in Fairbanks, AK

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