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INTEGRATED WELLNESS AND RECOVERY NPI 1376056952


NPI Information

NPI: 1376056952
Provider Name: INTEGRATED WELLNESS AND RECOVERY
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 02D2153951

Address:
3820 LAKE OTIS PKWY STE 112
ANCHORAGE, AK
ZIP 99508
Phone: (505) 712-2662
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INTEGRATED WELLNESS AND RECOVERY is an adult health nurse practitioner in Anchorage, AK. INTEGRATED WELLNESS AND RECOVERY NPI is 1376056952. The provider is registered as an organization entity type.

The provider's business location address is:

3820 LAKE OTIS PKWY STE 112
ANCHORAGE, AK
ZIP 99508
Phone: (505) 712-2662
Fax: (907) 865-2433

The provider's authorized official is Jennifer Mcdermott .
The authorized official title is Owner and has the following contact phone number (907) 202-5577.

The CLIA number assigned to this NPI record is 02D2153951 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 7/30/2018.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LA2200XNurse PractitionerAdult HealthYes

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.