LILA MAE MC EWEN (NPI# 1821168444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821168444 |
| Entity Type | Individual |
| Full Name | LILA MAE MC EWEN |
| Credential | NP |
| Practice Address |
11432 Business Blvd Eagle River AK 99577-7720 |
| Mailing Address |
9808 Chatham Cir Eagle River AK 99577-8656 |
| Practice Telephone | 9076941300 |
| Practice Fax Number | 9076941315 |
| Mailing Telephone | 9076221943 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11432 BUSINESS BLVD |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346205226 | Janet E Hulbert | Nurse Practitioner | 11432 Business Blvd, Eagle River, AK 99577 | 2006-04-20 |
| 1346617461 | Thomas Williams | Physical Therapist | 11432 Business Blvd, Suite 18, Eagle River, AK 99577-7740 | 2015-08-24 |
| 1871912915 | Suzanne Rose Kangas | Physician Assistant | 11432 Business Blvd, Ste 4, Eagle River, AK 99577-7720 | 2014-04-15 |
| 1154667913 | Crystal Marie Thornton | Registered Nurse | 11432 Business Blvd, Ste 4, Eagle River, AK 99577-7720 | 2012-12-26 |
| 1033277041 | Heart of Eagle River Medical Clinic | Family Medicine | 11432 Business Blvd, Suite 4, Eagle River, AK 99577-7720 | 2006-12-04 |
| 1649340126 | Thomas Ligus | Internal Medicine | 11432 Business Blvd, Eagle River, AK 99577-7720 | 2006-11-09 |
| 1023027380 | Fredrick George May | Physician Assistant | 11432 Business Blvd, Eagle River, AK 99577-7720 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1477945343 | Phyllis Goodwin | Nurse Practitioner | 16706 Riddell Cir, Eagle River, AK 99577-7600 | 2015-03-02 |
| 1679772735 | Health Works Family Medical Clinic Inc | Nurse Practitioner | 12812 Old Glenn Hwy Ste A7, Eagle River, AK 99577-7003 | 2007-07-17 |
| 1932217494 | Doris Ann Carter | Nurse Practitioner | 12320 Old Glenn Hwy, Ste A, Eagle River, AK 99577-7598 | 2006-08-26 |
| 1639130594 | Heather R Martin | Nurse Practitioner | 17101 Snowmobile Ln St 102, Primary Care Associates, Eagle River, AK 99577 | 2006-03-30 |
| 1841733706 | Victoria Miller | Nurse Practitioner | 16425 Brooks Loop, Eagle River, AK 99577-8027 | 2016-11-28 |
| 1174071641 | Casta Townsley | Nurse Practitioner | 17101 Snowmobile Ln Ste 102, Eagle River, AK 99577-7043 | 2016-09-14 |
| 1679836506 | Mary Elizabeth Smith | Nurse Practitioner | 10928 Eagle River Rd, Ste 254, Eagle River, AK 99577-8038 | 2012-06-15 |
| 1326328972 | Mary J Kahl | Nurse Practitioner | 930 E Wall St, Eagle River, WI 54521-9368 | 2011-08-26 |
| 1679704688 | Acute Family Medicine Clinic Inc | Nurse Practitioner | 11470 Business Blvd, Ste 100, Eagle River, AK 99577-7780 | 2009-08-07 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on LILA MAE MC EWEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.