Provider Demographics
NPI:1407456635
Name:JOSLIN, CRISTY MARIE
Entity Type:Individual
Prefix:
First Name:CRISTY
Middle Name:MARIE
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 ARCA DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3462
Mailing Address - Country:US
Mailing Address - Phone:907-777-0191
Mailing Address - Fax:907-272-2161
Practice Address - Street 1:2211 ARCA DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3462
Practice Address - Country:US
Practice Address - Phone:907-777-0191
Practice Address - Fax:907-272-2161
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator