Healthcare Provider Details

I. General information

NPI: 1861102337
Provider Name (Legal Business Name): JOSEPH PIPER CNM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2022
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 DIPLOMACY DR
ANCHORAGE AK
99508-5925
US

IV. Provider business mailing address

7033 E TUDOR RD
ANCHORAGE AK
99507-1262
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-3300
  • Fax:
Mailing address:
  • Phone: 907-729-6799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number197033
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number197033
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: