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MR. THEODORE YNGVE KORSGREN III LPN
NPI 1497942585
Licensed Practical Nurse in Fairbanks, AK

Active since October 02, 2007
1717 W. COWLES ST., FAIRBANKS, AK 99701(907) 451-6682 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Theodore Yngve Korsgren Iii Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE YNGVE KORSGREN III LPN (NPI 1497942585) is an individual licensed practical nurse in Fairbanks, Alaska, licensed in Alaska (5364) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1497942585
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. THEODORE YNGVE KORSGREN IIICredential: LPN
Location Address1717 W. COWLES ST.Fairbanks, AK 99701-5903
Mailing Address1717 W. Cowles St.Fairbanks, AK 99701-5903 · (907) 451-6682
Phone(907) 451-6682
Sole ProprietorYes
Enumeration DateOctober 2, 2007
Last NPPES UpdateDecember 3, 2012
✔ NPI 1497942585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AK · 5364
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1717 W. COWLES ST., Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN ROBB PA-C
Physician Assistant
1717 W. COWLES ST.
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
DR. NIGEL GEORGE WAPPETT M.D.
Obstetrics & Gynecology
1717 W. COWLES ST.
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
DR. JONATHAN R. STARR M.D.
Internal Medicine
1717 W. COWLES ST.
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
KRISTEN M SUBLETT CNM
Advanced Practice Midwife
1717 W. COWLES ST.
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
KAREN FEDELEM D.D.S.
Dentist
1717 W. COWLES ST.
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
DR. WILLIAM FRANK CATELLI II D.D.S.
Dentist
1717 W. COWLES ST., CHIEF ANDREW ISAAC HEALTH CENTER ROOM 2379A
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Korsgren's NPI number?

The NPI number for Theodore Korsgren is 1497942585. It was assigned to this individual provider in the NPPES registry on October 2, 2007.

Where is Theodore Korsgren located?

Theodore Korsgren practices at 1717 W. Cowles St., Fairbanks, AK 99701. The listed phone number is (907) 451-6682.

What is Theodore Korsgren's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Theodore Korsgren was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.