Organization
NORTHWAY FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN MAKA NORTHWAY DNP (OWNER)
(907) 225-4325
Entity
Organization
Contact information
Practice address
130 CARLANNA LAKE RD STE 201, KETCHIKAN, AK 99901-5669
(907) 225-4325
(907) 225-4326
Mailing address
130 CARLANNA LAKE RD STE 201, KETCHIKAN, AK 99901-5669
(907) 225-4325
(907) 225-4326
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1573464
—
AK
Enumeration date
02/04/2022
Last updated
02/04/2022
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