NPI | 1336274778 |
---|---|
Entity Type | Organization |
Authorized Contact | MANDY SCOTT Office Manager 907-745-1777 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 75324) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2014-01-30 |