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 |