ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS NPI 1407109440

NPI Information

NPI: 1407109440
Provider Name: ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
19202 MCCRARY RD
EAGLE RIVER, AK
ZIP 99577
Phone: (866) 251-2424
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ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS is a pediatrics nurse practitioner in Eagle River, AK. ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS NPI is 1407109440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19202 MCCRARY RD
EAGLE RIVER, AK
ZIP 99577-947
Phone: (866) 251-2424

The provider's authorized official is Teresa E Hirst .
The authorized official title is Owner and has the following contact phone number (866) 251-2425.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 10/15/2012.

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	363LP0200X	Nurse Practitioner	Pediatrics	652	ALASKA	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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