Frontier Family Medicine | |
300 W Swanson Ave Ste 101 Wasilla AK 99654-6844 | |
(907) 373-3940 | |
(907) 373-3948 |
Full Name | Frontier Family Medicine |
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Speciality | Clinic/Center |
Location | 300 W Swanson Ave Ste 101, Wasilla, Alaska |
Authorized Official Name and Position | Sandra Kay Spencer (OWNER NURSE PRACTITIONER) |
Authorized Official Contact | 9073733940 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Frontier Family Medicine 300 W Swanson Ave Ste 101 Wasilla AK 99654-6844 Ph: (907) 373-3940 | Frontier Family Medicine 300 W Swanson Ave Ste 101 Wasilla AK 99654-6844 Ph: (907) 373-3940 |
NPI Number | 1407195522 |
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Provider Enumeration Date | 02/08/2013 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 2365764156 |
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Medicare Enrollment ID | O20141205000841 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407195522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 966034 (Alaska) | Primary |
Provider Name | Sandra K Spencer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497770903 PECOS PAC ID: 2860498649 Enrollment ID: I20061018000681 |
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