| NPI | 1912182882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ANN CARTER Owner 907-696-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 660) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2015-10-09 |