Organization
ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS
Active
Organization
ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA E HIRST CPNP (OWNER)
(866) 251-2425
Entity
Organization
Contact information
Practice address
19202 MCCRARY RD, EAGLE RIVER, AK 99577-7947
(866) 251-2424
Mailing address
19202 MCCRARY RD, EAGLE RIVER, AK 99577-7947
(866) 251-2424
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
652
AK
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
Update your record
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