SHANA EDWIN RN
NPI 1417401183
Registered Nurse - Addiction (Substance Use Disorder) in Fairbanks, AK
Active since August 10, 2016
About Shana Edwin Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANA EDWIN RN (NPI 1417401183) is an individual addiction (substance use disorder) provider in Fairbanks, Alaska, licensed in Alaska (15115) and active in the NPI registry since August 2016.
NPPES Registry Identity
NPI1417401183
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameSHANA EDWINCredential: RN
Location Address650 YOUNKER CTFairbanks, AK 99701-7586
Mailing Address650 Younker CtFairbanks, AK 99701-7586 · (907) 456-1053
Phone(907) 456-1053
Sole ProprietorNo
Enumeration DateAugust 10, 2016
Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration
✔ NPI 1417401183 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in AK · 15115
650 YOUNKER CT, Fairbanks, AK 99701
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Registered Nurse (Addiction (Substance Use Disorder))
650 YOUNKER CT
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417401183, enumerated as an "individual" on August 10, 2016.
The provider is located at 650 YOUNKER CT FAIRBANKS, AK 99701 and the phone number is (907) 456-1053.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).