Organization
MOOSE CREEK MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLI RAYE BROCK ANP (ADVANCED NURSE PRACTITIONER, BUSINE)
(907) 373-3335
Entity
Organization
Contact information
Practice address
2341 S. FERN ST., SUITE 300, WASILLA, AK 99654
(907) 373-3335
(907) 373-3331
Mailing address
2341 S. FERN ST., SUITE 300, WASILLA, AK 99654
(907) 373-3335
(907) 373-3331
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022256
—
AK
Enumeration date
12/21/2018
Last updated
12/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us