LEGACY HEALTH CLINIC, LLC

Nurse Practitioner - Adult Health

Active Organization
NPI: 1942670005

Practice Address

3524 TONGASS AVE
Ketchikan, AK 99901

Phone: (907) 225-6355

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X No 551 (AK)
Nurse Practitioner - Adult Health 363LA2200X Yes 1106 (AK)

Frequently Asked Questions

NPI 1942670005 is the National Provider Identifier for LEGACY HEALTH CLINIC, LLC, a Nurse Practitioner - Adult Health provider located in Ketchikan, AK. This NPI was enumerated on October 1, 2015.

Quick Facts

NPI
1942670005
Type
Organization
Enumerated
Oct 1, 2015
Last Updated
Oct 1, 2015

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