Individual
STEPHANIE RAE MCQUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1751 E GARDNER WAY STE E, WASILLA, AK 99654-6564
(907) 376-9321
(907) 376-9322
Mailing address
1751 E GARDNER WAY STE E, WASILLA, AK 99654-6564
(907) 376-9321
(907) 376-9322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
133098
AK
Other
Enumeration date
06/27/2018
Last updated
11/13/2019
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