| NPI | 1619644846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PLEASANTS Owner And Provider 907-723-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |