Individual
MS. MEGAN C MACKIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 GREG KRUSCHEK AVENUE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-4594
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-4594
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-03298
NC
363AM0700X
Medical Physician Assistant
Primary
1053
AK
Other
Enumeration date
03/27/2012
Last updated
01/31/2014
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