Organization
CALM HARBOR HEALTH CLINIC
Active
Other names
Calm Harbor Health Clinic, Calm Harbor Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA JUDITH-ROWE MCINTYRE FNP (OWNER)
(907) 617-4481
Entity
Organization
Contact information
Practice address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 617-4481
Mailing address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 617-4481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1612171
—
AK
Enumeration date
10/11/2018
Last updated
03/04/2021
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