MEDICARE: MRS. KRISTI MICHELLE DELLINGNER NP

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	363L00000X	Nurse Practitioner	NURU1090	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NURU1090	OTHER	AK	STATE LICENSE
2	NURU1090	OTHER	AK	PROFESSIONAL LICENSE
3	NURU1090	OTHER	AK	LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497835151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTI MICHELLE DELLINGNER NP

Provider Business Mailing Address
First Line	:	2001 E. MADISON
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122
Country	:	US
Telephone Number	:	206-328-7722
Fax Number	:	206-328-7522

Provider Business Practice Location Address
First Line	:	4001 LAKE OTIS PKWY
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5200
Country	:	US
Telephone Number	:	800-769-0045
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	03/07/2023

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