Whalio Doctors

NPI 1003255480

Eagle River Pain & Wellness, LLC

Organisation Nurse Practitioner Eagle River, AK

Practice location

Address
16425 Brooks Loop, Eagle River, AK 99577-8027
Phone
(907) 622-4673
Fax
(907) 622-4674

Authorised official

Name
Jessica Joyce Spayd
Title
Owner
Phone
(907) 622-4673

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 308947 (AK)

Registry record

NPI
1003255480
Entity type
Organization
NPI issued
19 Jun 2013
Record last updated
20 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.