NPI 1003255480
Eagle River Pain & Wellness, LLC
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
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.