| NPI | 1992496590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE BROPHY-KING Administrator 907-744-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 171400000X Health & Wellness Coach | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 363AM0700X Physician Assistant, Medical | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |