MEDICARE: TRUA HEALTH & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1902311735	OTHER	AK	JULIE KANE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669936951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUA HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	7999 JEWEL LAKE RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99502-4251
Country	:	US
Telephone Number	:	907-802-6500
Fax Number	:	907-268-3830

Provider Business Practice Location Address
First Line	:	7999 JEWEL LAKE RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99502-4251
Country	:	US
Telephone Number	:	907-802-6500
Fax Number	:	907-268-3830

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	JULIE KANE
Credential	:	APRN
Telephone Number	:	907-802-6500

Provider Enumeration Date	:	01/30/2019
Last Update Date	:	06/22/2020

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Directions to “TRUA HEALTH & WELLNESS ” Practice Location

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