| NPI | 1942670005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN R KLEIN Owner 907-225-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 1106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 551) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |