NPI 1063050516

Mary Ann Miller

Practitioner Assisted Living Facility Wasilla, AK

Practice location

Address: 4519 W Amanda Dr, Wasilla, AK 99623-1046
Phone: (208) 713-4603
Mailing address: PO Box 871282, Wasilla, AK 99687-1282

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 101350 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1063050516
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2019
Record last updated: 16 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.