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White Spruce Medical, LLC

Internal Medicine Physician in Fairbanks, AK · enumerated 2020 · authorized official Audrey Stack, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811521552

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Registry record

Entity type Organization (Type 2)
Legal business name White Spruce Medical, LLC
Practice address 1275 Sadler Way Ste 100, Fairbanks, AK, 99701
Fax (907) 452-3695
Enumeration date Mar 2, 2020
Last updated in NPPES Mar 2, 2020

Taxonomy & classification

175F00000X Naturopath Other Service Providers Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Audrey Stack
Title Office Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for White Spruce Medical, LLC?
The NPI for White Spruce Medical, LLC is 1811521552, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for White Spruce Medical, LLC?
NPPES lists Audrey Stack (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-02.