Individual provider · Type 1 NPI

Mary Elizabeth Mildenberger, DNP

Nurse Practitioner · Wasilla, AK

NPI number 1265074454 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X179531 (AK)
Family Nurse Practitioner 363LF0000X62702 (ID)
Family Nurse Practitioner 363LF0000X201909053NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265074454

Mary Elizabeth Mildenberger, DNP's National Provider Identifier is 1265074454, issued on Oct 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wasilla, AK. The record was last updated on Oct 2, 2026.