Individual
CHRISTINE MASAKO PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 EAST END ROAD, HOMER, AK 99603-7400
(907) 226-2228
Mailing address
3982 MULLIKIN ST, HOMER, AK 99603-7400
(808) 271-0342
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5194715-1206
UT
363AM0700X
Medical Physician Assistant
AMD-264
HI
363AM0700X
Medical Physician Assistant
Primary
PAD1110
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000256453
HMSA
HI
05
—
576150
—
HI
Enumeration date
04/14/2006
Last updated
04/18/2017
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