Alpine Medical Group LLC

Family Nurse Practitioner · Fairbanks, AK

Organization Active NPI

NPI number 1114681608

Practice location

605 Chief Thomas Dr
Fairbanks, AK 99709-4848
Phone
(907) 455-4555
Fax
(833) 941-2349

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NPI record

NPI
1114681608
Entity type
Organization (Type 2)
Enumeration date
October 29, 2021
Last updated
September 4, 2025
Certified
September 4, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X — —
Family Medicine Physician 207Q00000X — —
Physician Assistant 363A00000X — —
Pediatric Nurse Practitioner 363LP0200X — —
Primary Care Nurse Practitioner 363LP2300X — —

Authorized official

Name
Haley Evens, NP
Title
Authorized Official
Phone
(907) 455-4555

Other practice locations (1)

  • 2054 30th Ave, Fairbanks, AK 99701-7316 · (907) 455-4555

About Alpine Medical Group LLC

Alpine Medical Group LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 605 Chief Thomas Dr, Fairbanks, AK 99709-4848. The NPI number 1114681608 was assigned on October 29, 2021 and the record was last updated on September 4, 2025.

The authorized official for this organization is Haley Evens, NP, Authorized Official.

Frequently asked questions

What is the NPI number of Alpine Medical Group LLC?

The NPI number is 1114681608.

What is the phone number of Alpine Medical Group LLC?

The phone number listed for the practice location is (907) 455-4555.

Where is Alpine Medical Group LLC located?

605 Chief Thomas Dr, Fairbanks, AK 99709-4848.

What is the taxonomy code for Alpine Medical Group LLC?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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