Organization · Type 2 NPI
Moose Creek Medical Clinic LLC
Adult Health Nurse Practitioner · Wasilla, AK
NPI number
1053883595
Active
Practice location
2341 S. Fern St., Suite 300
Wasilla, AK 99654
Fax (907) 373-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1053883595
Moose Creek Medical Clinic LLC's National Provider Identifier is 1053883595, issued on Dec 21, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wasilla, AK. The record was last updated on Dec 21, 2018.