Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 170304 | AK |
NPI | 1023604915 |
---|---|
Provider Name | Christina M Marsh |
First Address | Anchorage, AK 99516-2690 |
Second Address | Anchorage, AK 99516-2690 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2020 |
Last Update Date | 21/01/2021 |