OrganizationActive
Eagle River Pain & Wellness, LLC
NPI 1003255480 · Nurse Practitioner · Eagle River, AK
Provider details
- NPI number
- 1003255480
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Spayd, Owner(907) 622-4673
- License
- 308947 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16425 Brooks Loop
Eagle River, AK 99577-8027
Phone: (907) 622-4673
Fax: (907) 622-4674
Approximate (ZIP-level) locationGet directions
Mailing address
16425 Brooks Loop
Eagle River, AK 99577-8027
Registry dates
- Enumerated
- 2013-06-19
- Last updated
- 2014-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.