NPI 1649501594 · live from the CMS NPI Registry
Tanya M Ignacio, CNM
Nurse Practitioner, Obstetrics & Gynecology in Fairbanks, AK. National Provider Identifier 1649501594, active.
NPI record
| NPI | 1649501594 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 1626 30th Ave, Fairbanks, AK 99701 |
| Practice phone | 907-479-7701 |
| Enumerated | January 15, 2010 |
| Last updated | August 7, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 30948 (AK) |
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 1128 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.