Individual
MRS. MARIE E MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP,BC
Contact information
Practice address
920 W DIMOND BLVD # 1, ANCHORAGE, AK 99515-1502
(907) 349-0077
(907) 349-0078
Mailing address
920 W DIMOND BLVD # 1, ANCHORAGE, AK 99515-1502
(907) 349-0077
(907) 349-0078
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
13062
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
250
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3766
—
AK
Enumeration date
06/13/2005
Last updated
01/07/2008
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