| NPI | 1639644024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LOUISE WORNSTAFF Family Nurse Practitioner 907-965-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-12-28 |