Marshal Ann Packa, RN
Registered Nurse, Home Health in Wasilla, AK. Individual provider (NPI-1).
NPI number1003434945
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1003434945
- Entity type
- Individual (NPI-1)
- Name
- Marshal Ann Packa
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 110994 | AK | Yes |
Practice location
2930 W Youngtree DrWasilla, AK 99623-4131
Phone 907-414-0203
Mailing address
2930 W Youngtree DrWasilla, AK 99623-4131
Phone 907-414-0203
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