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Randall Twenhafel, PNP
Pediatric Nurse Practitioner in Wasilla, Alaska
NPI 1043208960

Randall Twenhafel is a Pediatric Nurse Practitioner based in Wasilla, AK and is specialized in Pediatrics. Randall Twenhafel practices in Wasilla, AK and has the professional credentials of PNP. The NPI Number for Randall Twenhafel is 1043208960 and holds a License No. 1145 (Alaska).

The current practice location address for Randall Twenhafel is 950 E Bogard Rd Ste 233, Wasilla, AK and can be reached out via phone at 907-357-4543 and via fax at 907-357-4533.

Location: 950 E Bogard Rd Ste 233, Wasilla, AK, 99654-7185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043208960
Provider Name
Randall Twenhafel
Credential
PNP
Provider Entity Type
Individual
Gender
Male
Address
950 E Bogard Rd Ste 233, Wasilla, AK, 99654-7185
Phone Number
907-357-4543
Fax Number
907-357-4533
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0141 05 AK
institution
Provider Business Practice Location Address Details
Address
950 E Bogard Rd Ste 233
City
Wasilla
State
Alaska
Zip
99654-7185
Phone Number
907-357-4543
Fax Number
907-357-4533
person
Provider Business Mailing Address Details
Address
950 E Bogard Rd Ste 233
City
Wasilla
State
Alaska
Zip
99654-7185
Phone Number
907-357-4543
Fax Number
907-357-4533
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
1145 (Alaska)
Definition
Definition to come...
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