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MS. CRYSTAL LEE STORDAHL PHYSICIAN ASSISTANT
NPI 1760505192
Physician Assistant - Medical in Fairbanks, AK

Active since April 09, 2007
1408 19TH AVE, FAIRBANKS, AK 99701(907) 452-8251(907) 459-3978 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Crystal Lee Stordahl Physician Assistant NPPES

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

MS. CRYSTAL LEE STORDAHL PHYSICIAN ASSISTANT (NPI 1760505192) is an individual medical provider in Fairbanks, Alaska, licensed in Alaska (518) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1760505192
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. CRYSTAL LEE STORDAHLCredential: PHYSICIAN ASSISTANT
Location Address1408 19TH AVEFairbanks, AK 99701-5903
Mailing Address201 1st Ave, Suite 300Fairbanks, AK 99701-4848 · (907) 452-8251 · Fax (907) 459-3978
Phone(907) 452-8251
Fax(907) 459-3978
Sole ProprietorNo
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760505192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · 518
1408 19TH AVE, Fairbanks, AK 99701
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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.

MRS. DARLENE L WORKMAN CDC 11
Counselor (Addiction (Substance Use Disorder))
1408 19TH AVE, CHIEF ANDREW ISAAC HEALTH CENTER
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3800
MRS. MELVINA RUTH EVANS
Counselor (Mental Health)
1408 19TH AVE, SUITE 359
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3800
DR. FLOYD ELTERMAN MD
Family Medicine
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
HEATHER KOPONEN PA-C
Physician Assistant
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
MR. JAMES ROBERT ANDRULLI PA-C
Physician Assistant (Medical)
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
VIRGINIA M AVILAHASKELL M.D.
Family Medicine
1408 19TH AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (310) 908-8828
MRS. HEATHER V. HARVEY RN
Registered Nurse (Maternal Newborn)
1408 19TH AVE, CAIHC 3RD FLOOR
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682
DR. STEPHEN S GERRISH MD
Family Medicine
1408 19TH AVE, TANANA CHIEFS CONFERENCE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 451-6682

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 Crystal Stordahl's NPI number?

The NPI number for Crystal Stordahl is 1760505192. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Crystal Stordahl located?

Crystal Stordahl practices at 1408 19th Ave, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Crystal Stordahl's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Crystal Stordahl was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.