Healthcare Provider Details

I. General information

NPI: 1316515265
Provider Name (Legal Business Name): ARIEL THORSTEINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 HOSPITAL DR FL 3
JUNEAU AK
99801-7808
US

IV. Provider business mailing address

3260 HOSPITAL DR FL 3
JUNEAU AK
99801-7808
US

V. Phone/Fax

Practice location:
  • Phone: 907-796-8430
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number36348
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: