Healthcare Provider Details

I. General information

NPI: 1447986955
Provider Name (Legal Business Name): GOLDEN HEART HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 AIRPORT WAY STE 5
FAIRBANKS AK
99709-4772
US

IV. Provider business mailing address

424 HENDERSON RD S UNIT B
FAIRBANKS AK
99709-2415
US

V. Phone/Fax

Practice location:
  • Phone: 907-290-8430
  • Fax: 907-205-4337
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE HUTTO
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 907-290-8430