Organization
IMPAVID MENTAL HEALTH LLC
Active
Other names
Impavid Mental Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA HERNANDEZ PMHNP-BC, CNM, APRN (PMHNP)
(888) 382-1897
Entity
Organization
Contact information
Practice address
3035 E PALMER WASILLA HWY STE 401, WASILLA, AK 99654-7274
(888) 382-1897
(888) 959-6529
Mailing address
PO BOX 870777, WASILLA, AK 99687-0777
(888) 382-1897
(888) 959-6529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1652157
—
AK
05
—
1715939
—
AK
Enumeration date
01/12/2021
Last updated
03/01/2023
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