Individual
MAUREEN NORTHWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5534 NORTH TONGASS HIGHWAY, KETCHIKAN, AK 99901-5669
(907) 225-4325
(907) 531-7369
Mailing address
5534 NORTH TONGASS HIGHWAY, KETCHIKAN, AK 99901-5669
(907) 225-4325
(907) 531-7369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1012
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012
ALASKA LICENSE
AK
Enumeration date
01/28/2008
Last updated
08/16/2023
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