Healthcare Provider Details

I. General information

NPI: 1730992314
Provider Name (Legal Business Name): ALY PARMAR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 C ST STE 201
ANCHORAGE AK
99501-5164
US

IV. Provider business mailing address

9480 MAIN ST # 1174
FAIRFAX VA
22031-4032
US

V. Phone/Fax

Practice location:
  • Phone: 907-600-5227
  • Fax: 907-865-2433
Mailing address:
  • Phone: 202-656-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number245690
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024193005
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR250782
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: