NPI 1407109440

Alaska Developmental Behavioral Pediatrics

Organisation Pediatric Nurse Practitioner Eagle River, AK

Practice location

Address: 19202 McCrary Rd, Eagle River, AK 99577-7947
Phone: (866) 251-2424

Authorised official

Name: Teresa E Hirst
Title: Owner
Phone: (866) 251-2425

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 652 (AK)

Other Nurse Practitioner providers in Alaska →

Registry record

NPI: 1407109440
Entity type: Organization
NPI issued: 15 Oct 2012
Record last updated: 15 Oct 2012

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.