NPI 1366062903

Eagle River Behavioral Health, LLC

Organisation Psychiatric/Mental Health Nurse Practitioner Eagle River, AK

Practice location

Address: 12812 Old Glenn Hwy STE C4, Eagle River, AK 99577-7002
Phone: (907) 726-0378
Fax: (907) 726-0374
Mailing address: PO Box 770870, Eagle River, AK 99577-0870

Authorised official

Name: Zan Whitman
Title: Provider
Phone: (907) 726-0378

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Other Nurse Practitioner providers in Alaska →

Registry record

NPI: 1366062903
Entity type: Organization
NPI issued: 23 Apr 2020
Record last updated: 1 May 2023

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.