Healthcare Provider Details

I. General information

NPI: 1821906140
Provider Name (Legal Business Name): DANIEL ADAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DEBARR CIR
ANCHORAGE AK
99508-2984
US

IV. Provider business mailing address

1500 DEBARR CIR
ANCHORAGE AK
99508-2984
US

V. Phone/Fax

Practice location:
  • Phone: 907-272-6206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number254850
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: