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ALL SEASONS FAMILY HEALTH CARE NPI 1285833103


NPI Information

NPI: 1285833103
Provider Name: ALL SEASONS FAMILY HEALTH CARE
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 02D1068278

Address:
5461 E MAYFLOWER LN
SUITE 4
WASILLA, AK
ZIP 99654
Phone: (907) 376-4644
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ALL SEASONS FAMILY HEALTH CARE is a primary care nurse practitioner in Wasilla, AK. ALL SEASONS FAMILY HEALTH CARE NPI is 1285833103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5461 E MAYFLOWER LN
SUITE 4
WASILLA, AK
ZIP 99654-817
Phone: (907) 376-4644

The provider's authorized official is Ellen L Lentz .
The authorized official title is Nurse Practioner and has the following contact phone number (907) 376-4644.

The CLIA number assigned to this NPI record is 02D1068278 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2007 and was last updated on 6/25/2009.


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
1363LP2300XNurse PractitionerPrimary Care0554ALASKAYes

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
1NP05541MEDICAIDALASKA
2NP05542MEDICAIDALASKA
3K161704MEDICARE PINALASKA

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

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.