Organization
ALASKA HEALTH GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WIESE (MEMBER/PARTNER)
(907) 830-9225
Entity
Organization
Contact information
Practice address
12945 NORAK PL, ANCHORAGE, AK 99516-2883
(907) 830-9225
Mailing address
205 E DIMOND BLVD # 166, ANCHORAGE, AK 99515-1909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1121
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1121
AK
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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