Provider Demographics
NPI:1215390182
Name:ARMOUR, ALISON
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:ARMOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 E BOGARD RD
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6075
Mailing Address - Country:US
Mailing Address - Phone:907-373-6500
Mailing Address - Fax:888-456-0663
Practice Address - Street 1:4551 E BOGARD RD
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6075
Practice Address - Country:US
Practice Address - Phone:907-373-6500
Practice Address - Fax:888-456-0663
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK109696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily