| NPI | 1588327209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BINGAMAN RN Fa 907-385-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-04-04 |