Provider Demographics
NPI:1336883057
Name:WILKINSON, ARYN BROOKE
Entity Type:Individual
Prefix:MRS
First Name:ARYN
Middle Name:BROOKE
Last Name:WILKINSON
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 1:1416 KENT CT UNIT B
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3135
Mailing Address - Country:US
Mailing Address - Phone:907-987-6548
Mailing Address - Fax:
Practice Address - Street 1:1416 KENT CT UNIT B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3135
Practice Address - Country:US
Practice Address - Phone:907-987-6548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker