Provider Demographics
NPI:1326651803
Name:MYERS, JANELL ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JANELL
Middle Name:ANN
Last Name:MYERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:ANN
Other - Last Name:COUPERTHWAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3831 PIPER ST STE S450
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4635
Mailing Address - Country:US
Mailing Address - Phone:907-258-6999
Mailing Address - Fax:
Practice Address - Street 1:3831 PIPER ST STE S450
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4635
Practice Address - Country:US
Practice Address - Phone:907-258-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1176756OtherNCCPA CERTIFICATION