Organization
GLACIER BAY MEDICAL AND DIABETES CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIENNE JOHNSON MSN, APRN, NP-C (OWNER/MANAGING MEMBER)
(907) 952-2296
Entity
Organization
Contact information
Practice address
1200 AIRPORT HEIGHTS DR STE 240, ANCHORAGE, AK 99508-2970
(907) 290-4666
(907) 921-5151
Mailing address
5598 KENAI FJORDS LOOP, ANCHORAGE, AK 99502-4047
(907) 290-4666
(907) 921-5151
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
10/21/2024
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