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Organization
EAGLE RIVER BEHAVIORAL HEALTH, LLC
Active
Organization
EAGLE RIVER BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAN WHITMAN ARNP (PROVIDER)
(907) 726-0378
Entity
Organization
Contact information
Practice address
12812 OLD GLENN HWY STE C4, EAGLE RIVER, AK 99577-7002
(907) 726-0378
(907) 726-0374
Mailing address
PO BOX 770870, EAGLE RIVER, AK 99577-0870
(907) 290-7033
(206) 726-0374
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240808
—
AK
Enumeration date
04/23/2020
Last updated
05/01/2023
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