Healthcare Provider Details

I. General information

NPI: 1710200985
Provider Name (Legal Business Name): KRISTA MARIE HOBSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 ARCTIC BLVD STE 104
ANCHORAGE AK
99503-5769
US

IV. Provider business mailing address

1550 N SUNNYHILL CIRCLE, UNIT 1
WASILLA AK
99654
US

V. Phone/Fax

Practice location:
  • Phone: 907-352-2905
  • Fax:
Mailing address:
  • Phone: 907-414-0692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number22972
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number131313
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number131313
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: