IMPAVID MENTAL HEALTH LLC NPI 1184213399

NPI Information

IMPAVID MENTAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Wasilla, AK. IMPAVID MENTAL HEALTH LLC NPI is 1184213399. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Impavid Mental Health, Llc.

The provider's business location address is:

2405 S KNIK GOOSE BAY RD, STE B
WASILLA, AK
ZIP 99654-965
Phone: (888) 382-1897
Fax: (888) 959-6529

The provider's authorized official is Adriana Hernandez .
The authorized official title is Pmhnp and has the following contact phone number (888) 382-1897.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 12/10/2021.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.