Most Relevant Information
Provider Data
| NPI Number: | 1003434945 |
| Provider Name: | MARSHAL ANN PACKA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 110994 |
Most Important Dates
| Enumeration Date: | 07/07/2020 |
| Last Updated: | 07/07/2020 |
Provider Practice Location
2930 W YOUNGTREE DR
WASILLA
AK
996234131
Practice Location Phone/Fax
| Phone: | 9074140203 |
| Fax: |
Provider Mailing Location
2930 W YOUNGTREE DR
WASILLA
AK
996234131
Provider Mailing Phone/Fax
| Phone: | 9074140203 |
| Fax: |