# ALASKA HEALTH GROUP, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013338425
- **Authorized official:** DANIEL WIESE (MEMBER/PARTNER)
- **Authorized official phone:** (907) 830-9225

## Contact information

- **Practice address:** 12945 NORAK PL, ANCHORAGE, AK 99516-2883
- **Practice address phone:** (907) 830-9225
- **Mailing address:** 205 E DIMOND BLVD \# 166, ANCHORAGE, AK 99515-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 1121 | AK | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1121 | AK | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014