Healthcare Provider Details

I. General information

NPI: 1023362068
Provider Name (Legal Business Name): SYLVAIN NOUVION PHARM.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E PALMER WASILLA HWY
PALMER AK
99645
US

IV. Provider business mailing address

535 E PALMER WASILLA HWY UNIT 770482
PALMER AK
99645-6575
US

V. Phone/Fax

Practice location:
  • Phone: 907-707-0433
  • Fax:
Mailing address:
  • Phone: 518-867-1013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number51075
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2106
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: