| NPI | 1801174586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L MICHALSKI Owner 907-677-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AK 688) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-11-18 |