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 |