Individual
REBEKAH MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
77 ANTOSKI RD, GALENA, AK 99741-0077
(907) 656-1366
Mailing address
PO BOX 143, GALENA, AK 99741-0143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11012035
FL
363LF0000X
Family Nurse Practitioner
Primary
179102
AK
Other
Enumeration date
03/09/2021
Last updated
09/27/2022
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