NPI 1033937115

Clinton Deaver, FNPBC

Practitioner Family Nurse Practitioner Wasilla, AK

Practice location

Address: 7010 E Bogard Rd, Wasilla, AK 99654-4711
Phone: (907) 373-4732
Mailing address: PO Box 876741, Wasilla, AK 99687-6741

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 229469 (AK)

Other Nurse Practitioner providers in Alaska →

Registry record

NPI: 1033937115
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2024
Record last updated: 23 Oct 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.