| NPI | 1023987708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY C BROUWER Owner / Nurse Practitioner 907-405-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2025-11-01 |
| Last Update Date | 2025-11-01 |