Healthcare Provider Details

I. General information

NPI: 1972966968
Provider Name (Legal Business Name): TAPIA STOVER APRN, CNM, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W 2ND AVE STE 108
ANCHORAGE AK
99501-2177
US

IV. Provider business mailing address

750 W 2ND AVE STE 108
ANCHORAGE AK
99501-2177
US

V. Phone/Fax

Practice location:
  • Phone: 907-350-6045
  • Fax:
Mailing address:
  • Phone: 907-350-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number109773
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number109773
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: