Individual
MARILYN VINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5000 E SHENNUM DR, WASILLA, AK 99654-7718
(907) 373-3420
Mailing address
5000 E SHENNUM DR, WASILLA, AK 99654-7718
(907) 373-3420
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
128403
AK
363LF0000X
Family Nurse Practitioner
Primary
205713
AK
Other
Enumeration date
03/06/2023
Last updated
04/17/2023
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