Individual
MRS. KRISTINE RENEE MAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2091 BOX BUTTE AVE STE 700, ALLIANCE, NE 69301-4458
(308) 762-7244
(308) 761-1249
Mailing address
760 W 57TH ST, CASPER, WY 82601-6445
(307) 871-9300
(855) 733-2371
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
290
WY
363A00000X
Physician Assistant
Primary
2412
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311835
BLUE CROSS
WY
01
—
970029372
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
01/26/2022
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