Randall Twenhafel is a Pediatrics in Wasilla, Alaska. Randall Twenhafel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Randall Twenhafel is 1043208960. The last update date is 2011-12-14.
Randall Twenhafel's current location address is 950 E Bogard Rd Ste 233, Wasilla, Alaska. You can contact this provider via phone number 9073574543. The mailing address for Randall Twenhafel is 950 E Bogard Rd Ste 233, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Twenhafel |
|---|---|
| Address | 950 E Bogard Rd Ste 233, Wasilla, Alaska |
| Phone Number | 9073574543 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1043208960 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2011-12-14 |
Provider Mailing Address Detail
| Address | 950 E Bogard Rd Ste 233 |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996547185 |
| Phone Number | 9073574543 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 1145 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP0141 | AK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Twenhafel?
The Randall Twenhafel has been issued the NPI (National Provider Identifier) 1043208960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Randall Twenhafel is physically located?
The Randall Twenhafel is physically situated at the following address: 950 E Bogard Rd Ste 233, Wasilla, AK, 996547185.
What is the Randall Twenhafel's specialty and taxonomy code?
The Randall Twenhafel's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Randall Twenhafel receive the assignment of its 1043208960 from the Centers for Medicare & Medicaid Services?
The Randall Twenhafel was issued its 1043208960 by the Centers for Medicare & Medicaid Services on 2005-10-13.
As of what date was the information regarding Randall Twenhafel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall Twenhafel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-14.