| 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 |