OrganizationActive
Eagle River Behavioral Health, LLC
NPI 1366062903 · Psychiatric/Mental Health Nurse Practitioner · Eagle River, AK
Provider details
- NPI number
- 1366062903
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Zan Whitman, Provider
Practice location
12812 Old Glenn Hwy Ste C4
Eagle River, AK 99577-7002
Phone: (907) 726-0378
Fax: (907) 726-0374
Mailing address
Po Box 770870
Eagle River, AK 99577-0870
Registry dates
- Enumerated
- 2020-04-23
- Last updated
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.