MEDICARE: STEPHANIE M FOX ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LN0000X	Neonatal Nurse Practitioner	1286	AK

General Provider Information

NPI Number	:	1710031125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE M FOX ANP

Provider Business Mailing Address
First Line	:	3340 PROVIDENCE DR STE 366
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4627
Country	:	US
Telephone Number	:	907-250-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	3340 PROVIDENCE DR STE 366
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4627
Country	:	US
Telephone Number	:	907-250-1991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	12/28/2013

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Directions to “ STEPHANIE M FOX ANP” Practice Location

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