Individual
MIRANDA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
25 JEFFERSON WAY STE 101, KETCHIKAN, AK 99901-5953
(907) 247-9999
Mailing address
PO BOX 1099, WARD COVE, AK 99928-1099
(907) 247-9999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
183598
AK
363LF0000X
Family Nurse Practitioner
Primary
4704292206
MI
Other
Enumeration date
11/25/2019
Last updated
03/19/2026
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