Organization
ADVANCED WEIGHT LOSS & WELLNESS CENTER OF ALASKA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE BROPHY-KING (ADMINISTRATOR)
(907) 744-7110
Entity
Organization
Contact information
Practice address
135 W DIMOND BLVD STE 104W, ANCHORAGE, AK 99515-1907
(907) 240-3376
(907) 563-7929
Mailing address
200 WEST 34TH AVENUE, PMB 1008, ANCHORAGE, AK 99503
(907) 744-7110
(907) 563-7929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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