| NPI | 1205176245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY SLATER Managing Member 907-338-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1111) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |