ALASKAN SUNRISE BEHAVIORAL HEALTH L.L.C. NPI 1003464512

NPI Information

NPI: 1003464512
Provider Name: ALASKAN SUNRISE BEHAVIORAL HEALTH, L.L.C.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
634 S BAILEY ST STE 100
PALMER, AK
ZIP 99645
Phone: (907) 707-1201
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ALASKAN SUNRISE BEHAVIORAL HEALTH, L.L.C. is a psychiatric/mental health nurse practitioner in Palmer, AK. ALASKAN SUNRISE BEHAVIORAL HEALTH, L.L.C. NPI is 1003464512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

634 S BAILEY ST STE 100
PALMER, AK
ZIP 99645-360
Phone: (907) 707-1201
Fax: (907) 707-1202

The provider's authorized official is Deanna Mae Casiano .
The authorized official title is Owner/pmhnp-bc and has the following contact phone number (907) 707-1201.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 12/18/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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