Organization
ANCHORAGE PEDIATRIC NIGHT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELISABETH AUSTIN CPNP (CEO)
(915) 799-4525
Entity
Organization
Contact information
Practice address
20209 EAGLE RIVER RD, EAGLE RIVER, AK 99577-6800
(915) 799-4525
Mailing address
20209 EAGLE RIVER RD, EAGLE RIVER, AK 99577-6800
(915) 799-4525
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
AK
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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