Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa Konieczny, MSN, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1720615958

Theresa Konieczny, MSN, APRN, FNP-C is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2019, 7 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska and Florida.

Years since qualifying
7
Licensed in
AK, FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1919 Lathrop St
Fairbanks, AK 99701-5937
Phone: (907) 459-3570
Fax: (907) 459-3510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 — (352) 674-1750

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 237063 (AK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11005954 (FL)

Record details

NPI number1720615958
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , FNP-C
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESAugust 9, 2025
Certification dateAugust 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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