Healthcare Provider Details

I. General information

NPI: 1104733526
Provider Name (Legal Business Name): AMBER MANN M.A.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 112107
ANCHORAGE AK
99511-2107
US

IV. Provider business mailing address

PO BOX 112107
ANCHORAGE AK
99511-2107
US

V. Phone/Fax

Practice location:
  • Phone: 907-310-6036
  • Fax: 907-600-1871
Mailing address:
  • Phone: 907-310-6036
  • Fax: 907-600-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: