Provider Demographics
NPI:1588334106
Name:KAROLINA PRIEBE DNP PC
Entity type:Organization
Organization Name:KAROLINA PRIEBE DNP PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEBE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:910-728-6305
Mailing Address - Street 1:1905 COWLES ST STE B
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-5914
Mailing Address - Country:US
Mailing Address - Phone:907-371-1766
Mailing Address - Fax:907-531-7365
Practice Address - Street 1:1905 COWLES ST STE B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5914
Practice Address - Country:US
Practice Address - Phone:907-371-1766
Practice Address - Fax:907-531-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty