Healthcare Provider Details

I. General information

NPI: 1063208031
Provider Name (Legal Business Name): ALLISON MARGARET HORNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON MARGARET BUNKOWSKE

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 30TH AVE
FAIRBANKS AK
99701-7466
US

IV. Provider business mailing address

2660 WAUGSTROE DR
FAIRBANKS AK
99709-5789
US

V. Phone/Fax

Practice location:
  • Phone: 907-479-7701
  • Fax:
Mailing address:
  • Phone: 847-521-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: