# EMPOWER MEDICAL AND WELLNESS

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

## Provider details

- **NPI number:** 1679139596
- **Authorized official:** TYFANAE BRINKE ANP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (907) 315-4042

## Contact information

- **Practice address:** 1901 N HEMMER RD STE 211, PALMER, AK 99645-9690
- **Practice address phone:** (907) 315-4042
- **Practice address fax:** (907) 313-1417
- **Mailing address:** 1150 S COLONY WAY, STE 3 PMB 568, PALMER, AK 99645-6967
- **Mailing address phone:** (907) 315-4042
- **Mailing address fax:** (907) 313-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2019
- **Last updated:** 02/01/2021