IndividualActive
Carly Mcqueen, PA-C
NPI 1235718735 · Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1235718735
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 184346 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
Approximate (ZIP-level) locationGet directions
Mailing address
1717 W Cowles St
Fairbanks, AK 99701
Registry dates
- Enumerated
- 2021-04-03
- Last updated
- 2024-01-31
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.