| NPI | 1679229223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA FARINAS FISHER Family Nurse Practitioner 907-382-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |