Provider Demographics
NPI:1710312194
Name:MCQUILKIN, ANNETTE KUNIGK (MSC, MSRD, LDN, RN)
Entity Type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:KUNIGK
Last Name:MCQUILKIN
Suffix:
Gender:F
Credentials:MSC, MSRD, LDN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 PHERSON ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7242
Mailing Address - Country:US
Mailing Address - Phone:907-821-2434
Mailing Address - Fax:
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:SEARHC - MT. EDGECUMBE HOSPITAL
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK35196163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care