Individual
MARY ALLISON MCQUILKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
(907) 729-8607
Mailing address
PO BOX 35198, SEATTLE, WA 98124-5198
(907) 729-6977
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
756547
CA
363L00000X
Nurse Practitioner
95001578
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
178871
AK
363LP2300X
Primary Care Nurse Practitioner
95001578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95001578
ADULT-GERONTOLOGY PRIMARY CARE
—
Enumeration date
10/15/2014
Last updated
02/15/2022
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