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Island Behavioral Health Llc
Psychiatric/Mental Health Nurse Practitioner in Ketchikan, Alaska
NPI 1215508411

Island Behavioral Health Llc is a Psychiatric/Mental Health Nurse Practitioner based in Ketchikan, AK and is specialized in Psychiatric/Mental Health. Island Behavioral Health Llc practices in Ketchikan, AK. The NPI Number for Island Behavioral Health Llc is 1215508411 and holds a License No. (Alaska).

The current practice location address for Island Behavioral Health Llc is 702 Bayview St Apt B, Ketchikan, AK and can be reached out via phone at 907-617-8485.

Location: 702 Bayview St Apt B, Ketchikan, AK, 99901-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215508411
Provider Name
Island Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
702 Bayview St Apt B, Ketchikan, AK, 99901-6102
Phone Number
907-617-8485
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1715763 05 AK
institution
Provider Business Practice Location Address Details
Address
702 Bayview St Apt B
City
Ketchikan
State
Alaska
Zip
99901-6102
Phone Number
907-617-8485
Fax Number
person
Provider Business Mailing Address Details
Address
702 Bayview St Apt B
City
Ketchikan
State
Alaska
Zip
99901-6102
Phone Number
907-617-8485
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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