Healthcare Provider Details

I. General information

NPI: 1013849090
Provider Name (Legal Business Name): AARON LOCHABY SMITH RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 W FIREWEED LN STE 160
ANCHORAGE AK
99503-2561
US

IV. Provider business mailing address

2632 LAUREN CREEK LOOP
ANCHORAGE AK
99507-1484
US

V. Phone/Fax

Practice location:
  • Phone: 907-770-0862
  • Fax:
Mailing address:
  • Phone: 530-717-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNURR29595
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: