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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