Individual
DANNA MAVIS CONSTANCE MOISII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35670 KENAI SPUR HWY STE 102, SOLDOTNA, AK 99669-7649
(907) 921-2221
(907) 921-2201
Mailing address
34603 SHARKY AVE, SOLDOTNA, AK 99669-8871
(907) 921-2221
(907) 921-2201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
171496
AK
363AM0700X
Medical Physician Assistant
6949
AZ
363AM0700X
Medical Physician Assistant
PA11692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168676165
PRACTICE NPI NUMBER
—
Enumeration date
03/01/2018
Last updated
07/12/2024
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