KARIS INTEGRATIVE MEDICINE LLC NPI 1174151708

NPI Information

NPI: 1174151708
Provider Name: KARIS INTEGRATIVE MEDICINE, LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 02D2185030

Address:
851 E WESTPOINT DR STE 301
WASILLA, AK
ZIP 99654
Phone: (907) 982-7821
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KARIS INTEGRATIVE MEDICINE, LLC is a women's health nurse practitioner in Wasilla, AK. KARIS INTEGRATIVE MEDICINE, LLC NPI is 1174151708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 E WESTPOINT DR STE 301
WASILLA, AK
ZIP 99654-183
Phone: (907) 982-7821

The provider's authorized official is Kadie M Lee .
The authorized official title is Office Manager and has the following contact phone number (907) 982-7821.

The CLIA number assigned to this NPI record is 02D2185030 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2020 and was last updated on 6/4/2020.

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	363LW0102X	Nurse Practitioner	Women's 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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