| NPI | 1518515030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE JOHNSON Owner/Managing Member 907-952-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2024-10-21 |