Provider Demographics
NPI:1629743257
Name:MARGINE, ANCA MARCELA (PMHNP)
Entity Type:Individual
Prefix:
First Name:ANCA
Middle Name:MARCELA
Last Name:MARGINE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W BENSON BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3936
Mailing Address - Country:US
Mailing Address - Phone:907-885-1089
Mailing Address - Fax:
Practice Address - Street 1:101 W BENSON BLVD STE 306
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3936
Practice Address - Country:US
Practice Address - Phone:907-885-1089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ256784363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health