Alaska Health Group, LLC.

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Anchorage, AK

NPI 1013338425 · NPPES record last updated Jan 2, 2014

Key facts

NPI
1013338425
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
1121 (AK)
Legal business name
ALASKA HEALTH GROUP, LLC.
Practice address
12945 Norak PL
Anchorage, AK 99516-2883
Phone
(907) 830-9225
NPI assigned
Jan 2, 2014
Organization subpart
No

Authorized official

Name
Daniel Wiese
Title
Member/Partner
Phone
(907) 830-9225

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X 1121 AK
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X 1121 AK Yes

Addresses

Primary practice location

12945 Norak PL
Anchorage, AK 99516-2883

Mailing address

205 E Dimond Blvd # 166
Anchorage, AK 99515-1909

Other providers in Anchorage, AK

All providers in Anchorage, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska

Sources for this page

Verify at the official NPI Registry.