Organization · Type 2 NPI
Alaska Developmental Behavioral Pediatrics
Pediatric Nurse Practitioner · Eagle River, AK
NPI number
1407109440
Active
Practice location
19202 Mccrary Rd
Eagle River, AK 99577-7947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 652 (AK) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1407109440
Alaska Developmental Behavioral Pediatrics's National Provider Identifier is 1407109440, issued on Oct 15, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Eagle River, AK. The record was last updated on Oct 15, 2012.