Healthcare Provider Details

I. General information

NPI: 1255217584
Provider Name (Legal Business Name): STEPHANIE CURTIS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N MULDOON RD
ANCHORAGE AK
99504-6104
US

IV. Provider business mailing address

18100 MULDROW ST
EAGLE RIVER AK
99577-7501
US

V. Phone/Fax

Practice location:
  • Phone: 907-201-3136
  • Fax:
Mailing address:
  • Phone: 251-233-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number113817
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: