Healthcare Provider Details

I. General information

NPI: 1235715251
Provider Name (Legal Business Name): ALLYSSA M ABEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 DIPLOMACY DR
ANCHORAGE AK
99508-5926
US

IV. Provider business mailing address

3900 AMBASSADOR DR STE 100
ANCHORAGE AK
99508-5922
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-1729
  • Fax:
Mailing address:
  • Phone: 907-729-1301
  • Fax: 907-729-3638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number250147
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number250147
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: