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Organization
GREATLAND WOMEN'S HEALTCARE, LLC
Active
Organization
GREATLAND WOMEN'S HEALTCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VON AH ANP (WOMEN'S HEALTH NURSE PRACTITIONER)
(907) 373-5400
Entity
Organization
Contact information
Practice address
5805 E COLUMBUS WAY, WASILLA, AK 99654-7831
(907) 373-5400
(907) 373-5417
Mailing address
5805 E COLUMBUS WAY, PO BOX 876201, WASILLA, AK 99654-7831
(907) 373-5400
(907) 373-5417
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
879
AK
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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