Organization
ALASKA PEDIATRIC NIGHT CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AUSTIN CPNP (CEO)
(907) 201-7801
Entity
Organization
Contact information
Practice address
20209 EAGLE RIVER RD, EAGLE RIVER, AK 99577-6800
(907) 201-7801
Mailing address
20209 EAGLE RIVER RD, EAGLE RIVER, AK 99577-6800
(907) 201-7801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113174
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129450
—
AK
Enumeration date
06/13/2017
Last updated
07/21/2022
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