NPI 1043208960 RANDALL TWENHAFEL PNP WASILLA AK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Randall Twenhafel - NPI: 1043208960

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: RANDALL TWENHAFEL
NPI Number: 1043208960
Entity Type Code: Individual (1)
Gender: M
Credentials: PNP
License Number: 1145
Business Practice Address: 950 E Bogard Rd Ste 233
Wasilla, AK - 996547185
Business Phone Number: 9073574543
Business Fax Number: 9073574533
Mailing Address: 950 E Bogard Rd Ste 233,
WASILLA
State: AK
Postal Code: 996547185
Phone Number: 9073574543
Fax Number:
NPI Enumeration Date: 10/13/2005
NPI Last Update Date: 12/14/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LP0200X
License Number: 1145
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AK
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Pediatrics
Taxonomy Definition:


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