Ghedair Mental Wellness
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Wasilla, AK
NPI 1114501764 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1114501764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- GHEDAIR MENTAL WELLNESS
- Practice address
- 220 E Spruce Ave
Wasilla, AK 99654-3854 - Phone
- (907) 841-4073
- NPI assigned
- May 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Amber R Shea, APRN
- Title
- Owner
- Phone
- (907) 841-4073
Practitioners 1
-
Amber Renae Shea, RN, PMHNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
220 E Spruce Ave
Wasilla, AK 99654-3854
Mailing address
220 E Spruce Ave
Wasilla, AK 99654-3854
Phone (907) 357-9911
Other providers in Wasilla, AK
- Jacqueline Gerrish
- Mark Scott Gerry II
- Sarah Ann Gerry
- Jamie Raye Gerst
- Sherrie Nichole Gerstung
- Alison K Giacullo
- Linda Louise Giani
- Athena Gianopoulos
- Steven G. Gianopoulos
- Tara Gibbs
All providers in Wasilla, AK · Psychiatric/Mental Health Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.