Provider Demographics
NPI:1023362068
Name:NOUVION, SYLVAIN (PHARMD, PHD)
Entity Type:Individual
Prefix:
First Name:SYLVAIN
Middle Name:
Last Name:NOUVION
Suffix:
Gender:M
Credentials:PHARMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17311 CORONADO RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7830
Mailing Address - Country:US
Mailing Address - Phone:518-867-1013
Mailing Address - Fax:
Practice Address - Street 1:1721 E PARKS HWY
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7349
Practice Address - Country:US
Practice Address - Phone:907-631-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2106183500000X
TX51075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist