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FIREWEED HEALTH CARE CLINIC INC NPI 1073653424


NPI Information

NPI: 1073653424
Provider Name: FIREWEED HEALTH CARE CLINIC INC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 02D0640462

Address:
3944 SPENARD RD
SUITE 100
ANCHORAGE, AK
ZIP 99517
Phone: (907) 276-4611
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FIREWEED HEALTH CARE CLINIC INC is a nurse practitioner in Anchorage, AK. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. FIREWEED HEALTH CARE CLINIC INC NPI is 1073653424. The provider is registered as an organization entity type.

The provider's business location address is:

3944 SPENARD RD
SUITE 100
ANCHORAGE, AK
ZIP 99517-003
Phone: (907) 276-4611

The provider's authorized official is Cw Jasper .
The authorized official title is Doctor and has the following contact phone number (907) 276-4611.

The CLIA number assigned to this NPI record is 02D0640462 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 11/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERALASKATAX ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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