Organization
FIREWEED SURGICAL ASSISTS LLC
Active
Organization
FIREWEED SURGICAL ASSISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WOOD JOHANSON NP (ACUTE CARE NURSE PRACTITIONER)
(503) 507-4516
Entity
Organization
Contact information
Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(508) 579-2174
Mailing address
1150 S COLONY WAY SUITE #3, PMB 153, PALMER, AK 99645
(508) 579-2174
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
08/07/2024
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