Organization
ADVANCED TELEPSYCHIATRY OF ALASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER VIRDEN DNP, ANP-BC, PMHNP (APRN)
(907) 406-6690
Entity
Organization
Contact information
Practice address
11470 BUSINESS BLVD, EAGLE RIVER, AK 99577-7780
(907) 406-6690
Mailing address
PO BOX 770824, EAGLE RIVER, AK 99577-0824
(907) 406-6690
(907) 726-0336
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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