# ERIC A NIMMO MD APC

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

## Provider details

- **NPI number:** 1508124587
- **Authorized official:** DR. ERIC A NIMMO MD APC (PRESIDENT)
- **Authorized official phone:** (907) 357-3850

## Contact information

- **Practice address:** 851 E WESTPOINT DR, STE 302, WASILLA, AK 99654-7191
- **Practice address phone:** (907) 357-3850
- **Practice address fax:** (907) 357-3851
- **Mailing address:** 851 E WESTPOINT DR, STE 302, WASILLA, AK 99654-7191
- **Mailing address phone:** (907) 357-3850
- **Mailing address fax:** (907) 357-3851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 408723 | AK | Yes |

## Other

- **Enumeration date:** 04/27/2012
- **Last updated:** 11/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B55382 | UPIN | AK |
| 05 | — | MD1446 | — | AK |