MEDICARE: DONNA A FEAREY ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	534	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285667501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA A FEAREY ANP

Provider Business Mailing Address
First Line	:	3601 C ST STE 540
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-5932
Country	:	US
Telephone Number	:	907-269-8000
Fax Number	:	907-562-7802

Provider Business Practice Location Address
First Line	:	3601 C ST STE 540
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-5932
Country	:	US
Telephone Number	:	907-269-8000
Fax Number	:	907-562-7802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	11/21/2008

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Directions to “ DONNA A FEAREY ANP” Practice Location

Language	Start Address	Practice Location

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