Healthcare Provider Details

I. General information

NPI: 1659281350
Provider Name (Legal Business Name): BERNADETTE ALBRECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 W HOLLYWOOD
WASILLA AK
99623
US

IV. Provider business mailing address

2521 E MTN VILLAGE DR STE B
WASILLA AK
99654-7332
US

V. Phone/Fax

Practice location:
  • Phone: 509-251-8484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: