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
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