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Child & Adolescent Psychiatric Nurse · WASILLA, AK

Registration Details

NPI Number
1174102339
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2021 (5.0789997072894 yrs)
Last Updated
Apr 5, 2021
License
907024 (MS)

Practice Information

Address
2521 E MOUNTAIN VILLAGE DR
WASILLA, AK, 996547373
Browse AK providers · Browse ZIP 99654
Phone
9072903760
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in WASILLA, AK

Name Credential NPI
MS. VIENA' S VERTEFEUILLE RN 1861648743
MORGAN RYNESKI RN 1043910102
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.