| NPI | 1114681608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY EVENS Nurse Practitioner/Owner 907-799-9069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-08-31 |