ETHAN HART

Community Health Worker

Active Individual
NPI: 1003706581

Practice Address

209 FORTY MILE AVE
Fairbanks, AK 99701

Phone: (907) 456-6445

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1003706581 is the National Provider Identifier for ETHAN HART, a Community Health Worker provider located in Fairbanks, AK. This NPI was enumerated on July 7, 2025.
ETHAN HART practices at 209 FORTY MILE AVE, Fairbanks, AK 99701.

Quick Facts

NPI
1003706581
Type
Individual
Enumerated
Jul 7, 2025
Last Updated
Jul 7, 2025

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