Individual provider · Type 1 NPI

Nicolle Kahl Wisniewski, MPAS, PA-C

Medical Physician Assistant · Anchorage, AK

NPI number 1871579961 Active

Practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234

Call (907) 562-2277 Map

Fax (907) 563-3460

Other practice locations

  • 1001 Noble St, Fairbanks, AK 99701-4922 · (907) 459-3500

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1000 (AK)
Surgical Physician Assistant 363AS0400X1000 (AK)

Medical Physician Assistant: Definition to come...

115 other providers at this address

Other medical physician assistant providers in Anchorage

See all in Anchorage →

About NPI 1871579961

Nicolle Kahl Wisniewski, MPAS, PA-C's National Provider Identifier is 1871579961, issued on Dec 20, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Anchorage, AK. The record was last updated on Oct 27, 2025.