NPI 1043722929
Fireweed Surgical Assists LLC
Practice location
- Address
- 2500 S Woodworth Loop, Palmer, AK 99645-8984
- Phone
- (508) 579-2174
- Mailing address
- 1150 S Colony Way Suite #3 Pmb 153, Palmer, AK 99645
Authorised official
- Name
- Sarah Wood Johanson
- Title
- Acute Care Nurse Practitioner
- Phone
- (503) 507-4516
Registered specialties
Acute Care Nurse Practitioner
Primary
Registry record
- NPI
- 1043722929
- Entity type
- Organization
- NPI issued
- 31 Oct 2017
- Record last updated
- 7 Aug 2024
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.