Mrs Amanda Constance Weidman, APRN, FNP-C | |
3190 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7422 | |
(907) 373-9460 | |
(907) 373-9461 |
Full Name | Mrs Amanda Constance Weidman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3190 E Meridian Park Loop Ste 207, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356105951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 218931 (Alaska) | Secondary |
363L00000X | Nurse Practitioner | 218931 (Alaska) | Primary |
Entity Name | Medical Group Of Alaska |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750730594 PECOS PAC ID: 7416243076 Enrollment ID: O20160907002184 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Constance Weidman, APRN, FNP-C 3190 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7422 Ph: (907) 373-9460 | Mrs Amanda Constance Weidman, APRN, FNP-C 3190 E Meridian Park Loop Ste 207, Wasilla, AK 99654-7422 Ph: (907) 373-9460 |
Alysa Sonnentag, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Fairview Loop, Wasilla, AK 99654 Phone: 907-373-3335 | |
Ms. Lisa Bouyea-francies, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1363 W Spruce Ave, Wasilla, AK 99654 Phone: 907-376-2411 Fax: 907-352-3373 | |
Stephanie Rae Mcquillin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1751 E Gardner Way Ste E, Wasilla, AK 99654 Phone: 907-376-9321 Fax: 907-376-9322 | |
Mr. Clinton Deaver, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Randall Twenhafel, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Bogard Rd Ste 233, Wasilla, AK 99654 Phone: 907-357-4543 Fax: 907-357-4533 | |
Samantha Lyn Hamilton, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-373-9460 | |
Nancy Mcdonnell Kent, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3223 Palmer Wasilla Hwy, Suite # 3, Wasilla, AK 99654 Phone: 907-352-6600 Fax: 907-376-3096 |