OrganizationActive
Alaska Developmental Behavioral Pediatrics
NPI 1407109440 · Pediatric Nurse Practitioner · Eagle River, AK
Provider details
- NPI number
- 1407109440
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Teresa Hirst, Owner(866) 251-2425
- License
- 652 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
19202 Mccrary Rd
Eagle River, AK 99577-7947
Phone: (866) 251-2424
Approximate (ZIP-level) locationGet directions
Mailing address
19202 Mccrary Rd
Eagle River, AK 99577-7947
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2012-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.