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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTINA LOUISE ELLIS, PA-C

Active Sole Proprietor

KRISTINA LOUISE ELLIS, PA-C is a Surgical Physician Assistant healthcare provider located in ANCHORAGE, Alaska. NPI 1104440585 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · ANCHORAGE, AK

Registration Details

NPI Number
1104440585
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2020 (6.2252298946612 yrs)
Last Updated
Oct 11, 2023
License
204589 (AK)
Sole Proprietor
Yes

Practice Information

Address
4100 LAKE OTIS PKWY STE 320
ANCHORAGE, AK, 995085231
Browse AK providers · Browse ZIP 99508
Phone
9075634810
Fax
9075634811
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in ANCHORAGE, AK

Name Credential NPI
RICHARD DALE MILLER PAC 1902895154
ROYCE A MORGAN PA-C 1417939059
TIMOTHY J FAGGIONATO PA-C 1437194990
MR. DAVID P WONCHALA PA-C 1609803089
JAMES GLEN WELKER PA-C 1215962022
LANCE EDMUND BAUGHMAN PA 1639195050
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.