| NPI | 1427370329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MELICAN Owner President 907-279-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 141) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |