NICOLLE KAHL WISNIEWSKI

FAIRBANKS, AK
NPI1871579961
Former NameNICOLLE KAHL HENDRIX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AK  1000)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: AK  1000)
363AS0400X Physician Assistant, Surgical
(Licence: MN  9868)
Enumeration Date2005-12-20
Last Update Date2023-03-07
Business Address
NICOLLE KAHL WISNIEWSKI MPAS, PA-C
1001 NOBLE ST
FAIRBANKS, AK 99701-4922
Phone number: 907-459-3500
Mailing Address
NICOLLE KAHL WISNIEWSKI MPAS, PA-C
1919 LATHROP ST STE # 105
FAIRBANKS, AK 99701-5937
Phone number: 907-451-6561