Ponchione, Elaine

Ponchione, Elaine is an sole proprietor health care provider with primary practice located at 250 Cushman St Ste 3C , Fairbanks AK 99701-4665. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ponchione, Elaine can be contacted via phone (907) 455-7801.

Contact Information

Primary practice address
250 Cushman St Ste 3C Fairbanks AK 99701-4665
Phone: (907) 455-7801
Fax: (907) 455-7803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 491 Alaska
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4018 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1045 Alaska

Profile Details

NPI number 1720162332
LBN Legal business name Ponchione, Elaine
Credentials ANP, RN, PSY. A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Nov 14th, 2011 - about 13 years ago

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 1720162332 NPPES
Alaska MEDICAID NP6894
Alaska Other K162139

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