Provider Demographics
NPI:1700856481
Name:FELL, KAREN ANNE (ANP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANNE
Last Name:FELL
Suffix:
Gender:F
Credentials:ANP
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Other - Credentials:
Mailing Address - Street 1:1060 GAFFNEY RD #7440
Mailing Address - Street 2:COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM
Mailing Address - City:FORT WAINWRIGHT
Mailing Address - State:AK
Mailing Address - Zip Code:99703-5001
Mailing Address - Country:US
Mailing Address - Phone:907-361-6703
Mailing Address - Fax:
Practice Address - Street 1:1060 GAFFNEY RD #7440
Practice Address - Street 2:BASSETT ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT WAINWRIGHT
Practice Address - State:AK
Practice Address - Zip Code:99703-7440
Practice Address - Country:US
Practice Address - Phone:907-353-5418
Practice Address - Fax:907-353-4845
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AKNURR25675163W00000X
AKNURU1419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse