Nurses Diversified Systems, Inc | |
815 2nd Ave Ste 122 Fairbanks AK 99701-4469 | |
(907) 374-0852 | |
(907) 374-0854 |
Full Name | Nurses Diversified Systems, Inc |
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Speciality | Psychiatry & Neurology |
Location | 815 2nd Ave Ste 122, Fairbanks, Alaska |
Authorized Official Name and Position | Teresa A Lyons (DIRECTOR) |
Authorized Official Contact | 9077508114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nurses Diversified Systems, Inc Po Box 72376 Fairbanks AK 99707-2376 Ph: (907) 750-8114 | Nurses Diversified Systems, Inc 815 2nd Ave Ste 122 Fairbanks AK 99701-4469 Ph: (907) 374-0852 |
NPI Number | 1972873784 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 08/16/2021 |
Certification Date | 08/16/2021 |
Medicare PECOS PAC ID | 7517127996 |
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Medicare Enrollment ID | O20120321000698 |
Identifier | Type | State | Issuer |
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1972873784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 1249 (Alaska) | Primary |
Provider Name | Teresa Lyons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043524218 PECOS PAC ID: 8820260847 Enrollment ID: I20111017000168 |
Provider Name | Sharon Geraghty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881239259 PECOS PAC ID: 0749685329 Enrollment ID: I20210819001925 |
Provider Name | Vanessa Gail Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831826015 PECOS PAC ID: 0840660452 Enrollment ID: I20221222002167 |
Provider Name | Anna Charlene Cowan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255037404 PECOS PAC ID: 2860867702 Enrollment ID: I20230407000296 |
Provider Name | Danah Elizabeth Angelo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548576390 PECOS PAC ID: 3476918095 Enrollment ID: I20230503001244 |
Provider Name | Jessica M Mcgrath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255609459 PECOS PAC ID: 1153647938 Enrollment ID: I20240125003889 |
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