Provider Demographics
NPI:1427247329
Name:SPAFFORD, JOANNE (ANP, FNP-BC)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SPAFFORD
Suffix:
Gender:F
Credentials:ANP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 1ST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4848
Mailing Address - Country:US
Mailing Address - Phone:907-452-8251
Mailing Address - Fax:907-459-3950
Practice Address - Street 1:201 1ST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4848
Practice Address - Country:US
Practice Address - Phone:907-452-8251
Practice Address - Fax:907-459-3950
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR170266363LF0000X
AZAP2923363LF0000X
AZRN149501363LF0000X
HIRN64596363LF0000X
HIAPRN1145363LF0000X
HIAPRN-RX 259363LF0000X
AK1315363LF0000X
AK34667163W00000X
AKDEA MS2695899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse