NPI 1043208960

Randall Twenhafel, PNP

Practitioner Pediatric Nurse Practitioner Wasilla, AK

Practice location

Address: 950 E Bogard Rd STE 233, Wasilla, AK 99654-7185
Phone: (907) 357-4543
Fax: (907) 357-4533

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 1145 (AK)

Other Nurse Practitioner providers in Alaska →

Registry record

NPI: 1043208960
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2005
Record last updated: 14 Dec 2011

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.