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ERIC A NIMMO MD APC NPI 1508124587


NPI Information

NPI: 1508124587
Provider Name: ERIC A NIMMO MD APC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
851 E WESTPOINT DR
STE 302
WASILLA, AK
ZIP 99654
Phone: (907) 357-3850
Get Directions

ERIC A NIMMO MD APC is a family medicine in Wasilla, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ERIC A NIMMO MD APC NPI is 1508124587. 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 302
WASILLA, AK
ZIP 99654-191
Phone: (907) 357-3850
Fax: (907) 357-3851

The provider's authorized official is Eric A Nimmo .
The authorized official title is President and has the following contact phone number (907) 357-3850.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 11/7/2013.


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
1207Q00000XFamily Medicine408723ALASKAYes

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
1MD1446MEDICAIDALASKA
2151080MEDICARE PINALASKA
3B55382OTHERALASKAUPIN

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

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