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Nicolle Kahl Wisniewski, MPAS,PA-C
Surgical Physician Assistant in Anchorage, Alaska
NPI 1871579961

Nicolle Kahl Wisniewski is a Surgical Physician Assistant based in Anchorage, AK and is specialized in Surgical. Nicolle Kahl Wisniewski practices in Anchorage, AK and has the professional credentials of MPAS,PA-C. The NPI Number for Nicolle Kahl Wisniewski is 1871579961 and holds a License No. 1000 (Alaska).

The current practice location address for Nicolle Kahl Wisniewski is 3801 Lake Otis Pkwy Ste 300, Anchorage, AK and can be reached out via phone at 907-562-2277 and via fax at 907-563-3460.

Location: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK, 99508-5234
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Provider Profile Details
NPI Number
1871579961
Provider Name
Nicolle Kahl Wisniewski
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
3801 Lake Otis Pkwy Ste 300, Anchorage, AK, 99508-5234
Phone Number
907-562-2277
Fax Number
907-563-3460
Provider Enumeration Date
12/20/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1575427 05 AK
991491900 05 MN
institution
Provider Business Practice Location Address Details
Address
3801 Lake Otis Pkwy Ste 300
City
State
Zip
99508-5234
Phone Number
907-562-2277
Fax Number
907-563-3460
person
Provider Business Mailing Address Details
Address
3801 Lake Otis Pkwy Ste 300
City
State
Zip
99508-5234
Phone Number
907-562-2277
Fax Number
907-563-3460
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9868 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1000 (Alaska)
Definition
Definition to come...
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