Healthcare Provider Details

I. General information

NPI: 1427202274
Provider Name (Legal Business Name): ANN J-A ARRISI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 11/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 E WESTPOINT DR STE 301
WASILLA AK
99654-7183
US

IV. Provider business mailing address

851 E WESTPOINT DRIVE SUITE 103
WASILLA AK
99654
US

V. Phone/Fax

Practice location:
  • Phone: 907-357-3750
  • Fax: 907-357-3751
Mailing address:
  • Phone: 907-357-3750
  • Fax: 907-357-3751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: