Healthcare Provider Details

I. General information

NPI: 1669282935
Provider Name (Legal Business Name): ASIA POUNCY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASIA FRAZIER

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 12TH AVE
FAIRBANKS AK
99701-4910
US

IV. Provider business mailing address

513 12TH AVE
FAIRBANKS AK
99701-4910
US

V. Phone/Fax

Practice location:
  • Phone: 907-903-3519
  • Fax:
Mailing address:
  • Phone: 907-903-3519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: