Organization
PNPS OF ALASKA, RANDY TWENHAFEL PC
Active
Organization
PNPS OF ALASKA, RANDY TWENHAFEL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J TWENHAFEL PNP (CHAIRMAN, CEO, PRESIDENT)
(907) 644-3011
Entity
Organization
Contact information
Practice address
5139 WOOD HALL DR, ANCHORAGE, AK 99516-7536
(907) 317-2506
Mailing address
5139 WOOD HALL DR, ANCHORAGE, AK 99516-7536
(907) 317-2506
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1145
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0141
—
AK
Enumeration date
09/06/2011
Last updated
09/06/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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