IndividualActive
Randall Twenhafel, PNP
NPI 1043208960 · Pediatric Nurse Practitioner · Wasilla, AK
Provider details
- NPI number
- 1043208960
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Male
- Sole proprietor
- No
- License
- 1145 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
950 E Bogard Rd Ste 233
Wasilla, AK 99654-7185
Phone: (907) 357-4543
Fax: (907) 357-4533
Approximate (ZIP-level) locationGet directions
Mailing address
950 E Bogard Rd Ste 233
Wasilla, AK 99654-7185
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2011-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.