Most Relevant Information
Provider Data
| NPI Number: | 1003570128 |
| Provider Name: | ALISON IVERSON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 263636 |
Most Important Dates
| Enumeration Date: | 10/25/2021 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW
AZ
859017955
Practice Location Phone/Fax
| Phone: | 9285374300 |
| Fax: | 9285374320 |
Provider Mailing Location
PO BOX 3630
FLAGSTAFF
AZ
860033630
Provider Mailing Phone/Fax
| Phone: | 9285229879 |
| Fax: |