Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY HEALTH CLINIC, LLC
Active OrganizationLEGACY HEALTH CLINIC, LLC is a Adult Health Nurse Practitioner organization located in KETCHIKAN, Alaska. NPI 1942670005 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · KETCHIKAN, AK
Registration Details
- NPI Number
- 1942670005
- Provider Type
- Organization
- NPI Issued
- Oct 1, 2015 (10.850707007945 yrs)
- Last Updated
- Oct 1, 2015
- Licenses
-
551 (AK)1106 (AK)
Practice Information
- Address
-
3524 TONGASS AVEKETCHIKAN, AK, 999015635Browse AK providers · Browse ZIP 99901
- Phone
- 9072256355
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- 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.