=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477461606
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATRINA ELIZABETH STEWART RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2026
-----------------------------------------------------
Last Update Date | 08/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3851 PIPER ST STE U340
-----------------------------------------------------
City | ANCHORAGE
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99508-6904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-562-0321
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2002 W 46TH AVE UNIT A
-----------------------------------------------------
City | ANCHORAGE
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99517-3159
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-250-9755
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 186828
-----------------------------------------------------
License Number State | AK
-----------------------------------------------------