Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOOSE CREEK MEDICAL CLINIC LLC
Active OrganizationMOOSE CREEK MEDICAL CLINIC LLC is a Adult Health Nurse Practitioner organization located in WASILLA, Alaska. NPI 1053883595 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · WASILLA, AK
Registration Details
- NPI Number
- 1053883595
- Provider Type
- Organization
- NPI Issued
- Dec 21, 2018 (7.6899996948778 yrs)
- Last Updated
- Dec 21, 2018
Practice Information
- Address
-
2341 S. FERN ST., SUITE 300WASILLA, AK, 99654Browse AK providers · Browse ZIP 99654
- Phone
- 9073733335
- Fax
- 9073733331
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Women's Health Nurse Practitioner
- Additional Specialty
- Adult Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.