Organization
GHEDAIR MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER R SHEA APRN (OWNER)
(907) 841-4073
Entity
Organization
Contact information
Practice address
220 E SPRUCE AVE, WASILLA, AK 99654-3854
(907) 841-4073
Mailing address
220 E SPRUCE AVE, WASILLA, AK 99654-3854
(907) 357-9911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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