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PETALOSO
NPI 1982059952
Nurse Practitioner - Family in Fairbanks, AK

Active since April 27, 2016
1867 AIRPORT WAY STE 110B, FAIRBANKS, AK 99701(907) 978-7721(907) 452-6330 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petaloso NPPES

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

PETALOSO (NPI 1982059952) is a healthcare organization registered as a family in Fairbanks, Alaska and active in the NPI registry since April 2016. The organization lists Janice L Stables, President, as its authorized official.

NPPES Registry Identity

NPI1982059952
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePETALOSO INC
Location Address1867 AIRPORT WAY STE 110BFairbanks, AK 99701-4054
Mailing Address1867 Airport Way Ste 110bFairbanks, AK 99701-4054 · (907) 978-7721 · Fax (907) 452-6330
Phone(907) 978-7721
Fax(907) 452-6330
Organization SubpartNo
Authorized OfficialJanice L StablesPresident · (907) 978-7721
Enumeration DateApril 27, 2016
✔ NPI 1982059952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AK · 420
1867 AIRPORT WAY STE 110B, Fairbanks, AK 99701
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Other Names 1

Doing Business AsPetaloso

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. YOSHIHIRO WILLIAM KARINO
Counselor (Professional)
1867 AIRPORT WAY STE 110B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 799-7500
KRISTI L. WOOD LCSW
Social Worker (Clinical)
1867 AIRPORT WAY STE 110B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 799-7500
SARA MP WOOD LPC
Counselor (Professional)
1867 AIRPORT WAY STE 110B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 799-7500
ANP FAMILY CARE INC
Clinic/Center
1867 AIRPORT WAY STE 110B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6330
VICTORIA GRACE MURPHY LCSW
Social Worker (Clinical)
1867 AIRPORT WAY STE 110B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 799-7500
JULIEANNE HELD LPC
Counselor (Professional)
1867 AIRPORT WAY STE 110B
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 799-7500

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 Petaloso Inc's NPI number?

The NPI number for Petaloso Inc is 1982059952. It was assigned to this organization in the NPPES registry on April 27, 2016. The provider is doing business as Petaloso.

Where is Petaloso Inc located?

Petaloso Inc is located at 1867 Airport Way Ste 110B, Fairbanks, AK 99701. The listed phone number is (907) 978-7721.

What is Petaloso Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Petaloso Inc was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.