National Provider Identifier Database

MARSHAL A PACKA, RN – NPI #1003434945
Home Health


Contact Information

MARSHAL A PACKA, RN
2930 W YOUNGTREE DR
WASILLA, AK99623-4131
Phone: 907-414-0203
Fax:
Website:
Specialty Taxonomy Code
* Home Health 163WH0200X

* Indicates primary specialty

NPI Profile & details for MARSHAL A PACKA

NPI Number 1003434945
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/07/2020
Last updated 07/07/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • AK License #: 110994
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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