| NPI | 1467727065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE M GLEASON Owner 907-376-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK ak55) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |