Healthcare Provider Details

I. General information

NPI: 1659298081
Provider Name (Legal Business Name): SHAUNA JOY THOMAS APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 14TH AVE
SKAGWAY AK
99840
US

IV. Provider business mailing address

PO BOX 537
SKAGWAY AK
99840-0537
US

V. Phone/Fax

Practice location:
  • Phone: 907-983-2255
  • Fax: 907-983-2975
Mailing address:
  • Phone: 907-612-0747
  • Fax: 907-983-2975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number256248
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: