Provider Demographics
NPI:1851728109
Name:KATS, ALEKSANDR (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDR
Middle Name:
Last Name:KATS
Suffix:
Gender:M
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:ALEKSANDR
Other - Middle Name:
Other - Last Name:KATS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:5955 ZEAMER AVE
Mailing Address - Street 2:
Mailing Address - City:JBER
Mailing Address - State:AK
Mailing Address - Zip Code:99506-3702
Mailing Address - Country:US
Mailing Address - Phone:907-580-8302
Mailing Address - Fax:
Practice Address - Street 1:5955 ZEAMER AVE
Practice Address - Street 2:
Practice Address - City:JBER
Practice Address - State:AK
Practice Address - Zip Code:99506-3702
Practice Address - Country:US
Practice Address - Phone:907-580-5889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily