Provider Demographics
NPI:1861690596
Name:OKULEY, SYLVIA LAURA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:LAURA
Last Name:OKULEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SYLVIA
Other - Middle Name:LAURA
Other - Last Name:KAVINSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2841 DEBARR RD
Mailing Address - Street 2:SUITE 43
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2958
Mailing Address - Country:US
Mailing Address - Phone:907-274-7847
Mailing Address - Fax:907-274-7845
Practice Address - Street 1:2841 DEBARR RD
Practice Address - Street 2:SUITE 43
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2958
Practice Address - Country:US
Practice Address - Phone:907-274-7847
Practice Address - Fax:907-274-7845
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1906363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant