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Contact Information

ALL SEASONS FAMILY HEALTH CARE
5461 E MAYFLOWER LN
SUITE 4
WASILLA, AK99654-7817
 Phone: 907-376-4644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALL SEASONS FAMILY HEALTH CARE · (Female)

NPI Number 1285833103
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2007
Last updated 06/25/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK License # 0554
  • AK Medicaid NP05541
  • AK Medicaid NP05542
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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