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EMPOWER MEDICAL AND WELLNESS NPI 1679139596


NPI Information

NPI: 1679139596
Provider Name: EMPOWER MEDICAL AND WELLNESS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1901 N HEMMER RD STE 211
PALMER, AK
ZIP 99645
Phone: (907) 315-4042
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EMPOWER MEDICAL AND WELLNESS is a primary care clinic center in Palmer, AK. EMPOWER MEDICAL AND WELLNESS NPI is 1679139596. The provider is registered as an organization entity type.

The provider's business location address is:

1901 N HEMMER RD STE 211
PALMER, AK
ZIP 99645-690
Phone: (907) 315-4042
Fax: (907) 313-1417

The provider's authorized official is Tyfanae Brinke .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (907) 315-4042.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 2/1/2021.


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
1261QH0100XClinic/CenterHealth ServiceNo
2261QI0500XClinic/CenterInfusion TherapyNo
3261QP2300XClinic/CenterPrimary CareYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11652161MEDICAIDALASKA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.