Moose Creek Medical Clinic LLC

NPI #1053883595 in Wasilla, Alaska

Provider Information

NPI Number
1053883595
Entity Type
Organization
Organization Name
Moose Creek Medical Clinic LLC
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Dec 21, 2018
Last Updated
Dec 21, 2018

Practice Location

Address
2341 S. FERN ST., SUITE 300
State
Alaska
ZIP Code
99654
Phone
(907) 373-3335

Authorized Official

Name
MRS. KIMBERLI RAYE BROCK, ANP
Title
ADVANCED NURSE PRACTITIONER, BUSINE
Phone
(907) 373-3335

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Women's HealthWomen's Health
Nurse Practitioner - Adult HealthAdult Health

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