Randall Twenhafel
Nurse Practitioner - Pediatrics
950 E Bogard Rd Ste 233
Wasilla
, Alaska 99654-7185
Randall Twenhafel
Nurse Practitioner - Pediatrics
950 E Bogard Rd Ste 233
Wasilla
, Alaska 99654-7185
(907) 357-4543
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Randall Twenhafel
- 950 E Bogard Rd Ste 233
- Wasilla, AK
- Zip : 99654-7185
- Phone : (907) 357-4543
Second Address
- Randall Twenhafel
- 950 E Bogard Rd Ste 233
- Wasilla, AK
- Zip : 99654-7185
- Fax : (907) 357-4533
- Phone : (907) 357-4543
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FAQs
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What type of doctor is Randall Twenhafel
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Is Randall Twenhafel a sole practitioner?
Is Randall Twenhafel accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1145 | AK |
National Provider Identifier
| NPI | 1043208960 |
|---|---|
| Provider Name | Randall Twenhafel |
| First Address | Wasilla, AK 99654-7185 |
| Second Address | Wasilla, AK 99654-7185 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 14/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NP0141 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.