Most Relevant Information
Provider Data
| NPI Number: | 1003426784 |
| Provider Name: | COLLEEN MAGGIE NEWCITY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2020 |
| Last Updated: | 08/06/2020 |
Provider Practice Location
851 WESTPOINT SUITE 310
WASILLA
AK
99654
Practice Location Phone/Fax
| Phone: | 9073575400 |
| Fax: |
Provider Mailing Location
2550 S EVERGREEN CIR
WASILLA
AK
996548588
Provider Mailing Phone/Fax
| Phone: | 9072400166 |
| Fax: |