Individual
ERICA RAE MUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4551 E BOGARD RD, WASILLA, AK 99654-6075
(907) 373-6500
Mailing address
4551 E BOGARD RD, WASILLA, AK 99654-6075
(907) 373-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NURR28525
AK
Other
Enumeration date
10/28/2022
Last updated
09/15/2023
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