Healthcare Provider Details

I. General information

NPI: 1255147526
Provider Name (Legal Business Name): ALISON EVANSON NIELSEN-BRYANT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON EVANSON NIELSEN RDH

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8717 DIMOND D CIR
ANCHORAGE AK
99515-1931
US

IV. Provider business mailing address

16850 OLENA POINTE CIR
ANCHORAGE AK
99516-5435
US

V. Phone/Fax

Practice location:
  • Phone: 907-771-0536
  • Fax:
Mailing address:
  • Phone: 907-441-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number215542
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: