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Elaine Ponchione, ANP, RN, Psy. A.

Nurse Practitioner, Psych/Mental Health in Fairbanks, AK. Individual provider (NPI-1).

NPI number1720162332
StatusActive
Last updated in NPPESNov 14, 2011

Details

NPI
1720162332
Entity type
Individual (NPI-1)
Name
Elaine Ponchione
Credential
ANP, RN, Psy. A.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 24, 2006
Last updated
Nov 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health1045AKYes
103TC1900X Psychologist, Counseling491AK
163WP0808X Registered Nurse, Psych/Mental Health4018AK

Practice location

250 Cushman St Ste 3c
Fairbanks, AK 99701-4665

Phone 907-455-7801 · Fax 907-455-7803

Mailing address

250 Cushman St
Suite 3c
Fairbanks, AK 99701-4640

Phone 907-455-7801 · Fax 907-455-7803

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Fairbanks, AK

All 19 Psychiatric/Mental Health Nurse Practitioner providers in Fairbanks · All 3,932 providers in Fairbanks

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