Provider Demographics
NPI:1083642854
Name:MAYER, NATALIE SEIBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:SEIBERT
Last Name:MAYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1867 AIRPORT WAY,
Mailing Address - Street 2:SUITE 120B
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701
Mailing Address - Country:US
Mailing Address - Phone:907-457-5050
Mailing Address - Fax:907-457-5034
Practice Address - Street 1:1867 AIRPORT WAY
Practice Address - Street 2:SUITE 120B
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4007
Practice Address - Country:US
Practice Address - Phone:907-457-5050
Practice Address - Fax:907-457-5034
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3960207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKG19367Medicare UPIN