Healthcare Provider Details

I. General information

NPI: 1093628935
Provider Name (Legal Business Name): VERA WHOLE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E BOGARD RD BLDG A, STE 103
WASILLA AK
99654-6563
US

IV. Provider business mailing address

100 W TOWNE RIDGE PKWY STE 200
SANDY UT
84070-5545
US

V. Phone/Fax

Practice location:
  • Phone: 907-206-4601
  • Fax: 907-787-2207
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VANYA ELLER
Title or Position: LICENSING ANALYST AND LEGAL ASST.
Credential:
Phone: 206-971-1183