Brock, Heather Ellison

Brock, Heather Ellison is an sole proprietor health care provider with primary practice located at 3760 Piper St Ste 1108 , Anchorage AK 99508-4683. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brock, Heather Ellison can be contacted via phone (907) 212-6900.

Contact Information

Primary practice address
3760 Piper St Ste 1108 Anchorage AK 99508-4683
Phone: (907) 212-6900
Fax: (907) 212-6936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 751 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 751 Alaska

Profile Details

NPI number 1992712442
LBN Legal business name Brock, Heather Ellison
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Feb 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992712442 NPPES
Alaska MEDICAID 1023124

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