Provider Demographics
NPI:1043617913
Name:UNGER, MORWENNA THERESA (PAC)
Entity Type:Individual
Prefix:MRS
First Name:MORWENNA
Middle Name:THERESA
Last Name:UNGER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LAVELLE CT.
Mailing Address - Street 2:ILIULIUK FAMILY & HEALTH SERVICES, INC (BOX 144)
Mailing Address - City:UNALASKA
Mailing Address - State:AK
Mailing Address - Zip Code:99685
Mailing Address - Country:US
Mailing Address - Phone:907-581-1202
Mailing Address - Fax:907-581-2331
Practice Address - Street 1:34 LAVELLE CT.
Practice Address - Street 2:ILIULIUK FAMILY & HEALTH SERVICES, INC (BOX 144)
Practice Address - City:UNALASKA
Practice Address - State:AK
Practice Address - Zip Code:99685
Practice Address - Country:US
Practice Address - Phone:907-581-1202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1019363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant