Most Relevant Information
Provider Data
| NPI Number: | 1003537325 |
| Provider Name: | ALYSA SONNENTAG APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 198025 |
Most Important Dates
| Enumeration Date: | 09/06/2022 |
| Last Updated: | 09/06/2022 |
Provider Practice Location
211 E FAIRVIEW LOOP
WASILLA
AK
996540568
Practice Location Phone/Fax
| Phone: | 9073733335 |
| Fax: |
Provider Mailing Location
PO BOX 877116
WASILLA
AK
996877116
Provider Mailing Phone/Fax
| Phone: | 3073715708 |
| Fax: |