OrganizationActive
Allied Clinic & Wounds LLC
NPI 1720807563 · Family Nurse Practitioner · Anchorage, AK
Provider details
- NPI number
- 1720807563
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stanley Kidavayi, Ceo(702) 601-1360
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1577 C St Ste 878616
Anchorage, AK 99501-5127
Phone: (702) 983-6674
Approximate (ZIP-level) locationGet directions
Mailing address
1577 C St Ste 878616
Anchorage, AK 99501-5127
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.