Organization
ALL SEASONS FAMILY HEALTHCARE LLC
Active
Organization
ALL SEASONS FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LENTZ NP (OWNER)
(907) 376-4644
Entity
Organization
Contact information
Practice address
5461 E MAYFLOWER LN, SUITE 4, WASILLA, AK 99654-7817
(907) 376-4644
Mailing address
5461 E MAYFLOWER LN, SUITE 4, WASILLA, AK 99654-7817
(907) 376-4644
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP05541
—
AK
Enumeration date
03/13/2008
Last updated
03/13/2008
Update your record
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