Provider Demographics
NPI:1215268222
Name:HERRING, MARCEL PAGE (PA-C)
Entity type:Individual
Prefix:MS
First Name:MARCEL
Middle Name:PAGE
Last Name:HERRING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 AMBLER CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4696
Mailing Address - Country:US
Mailing Address - Phone:907-351-5883
Mailing Address - Fax:
Practice Address - Street 1:4221 AMBLER CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4696
Practice Address - Country:US
Practice Address - Phone:907-351-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant