NPI 1306488572
Tranquility Behavioral Telehealth LLC
Practice location
- Address
- 17051 Mercy Dr STE 204, Eagle River, AK 99577-7630
- Phone
- (907) 696-0096
- Fax
- (949) 577-4808
- Mailing address
- PO Box 772852, Eagle River, AK 99577-2852
Authorised official
- Name
- Shannon R Davis
- Title
- Owner
- Phone
- (907) 696-0096
Registered specialties (2)
Psychiatric/Mental Health Nurse Practitioner
Primary
Family Nurse Practitioner
Registry record
- NPI
- 1306488572
- Entity type
- Organization
- NPI issued
- 9 Oct 2019
- Record last updated
- 22 Feb 2025
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.