Organization · Type 2 NPI

Eagle River Behavioral Health, LLC

Psychiatric/Mental Health Nurse Practitioner · Eagle River, AK

NPI number 1366062903 Active

Practice location

12812 Old Glenn Hwy Ste C4
Eagle River, AK 99577-7002

Fax (907) 726-0374

Mailing address

PO Box 770870
Eagle River, AK 99577-0870

Other practice locations

  • 10928 Eagle River Rd Ste 210, Eagle River, AK 99577-8078 · (907) 726-0378

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1366062903

Eagle River Behavioral Health, LLC's National Provider Identifier is 1366062903, issued on Apr 23, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Eagle River, AK. The record was last updated on May 1, 2023.