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Paul Andrew Mahnke, ACNPC-AG

Nurse Practitioner in Lake Havasu City, AZ. Individual provider (NPI-1).

NPI number1982123618
StatusActive
Last updated in NPPESSep 23, 2017

Details

NPI
1982123618
Entity type
Individual (NPI-1)
Name
Mr. Paul Andrew Mahnke
Credential
ACNPC-AG
Sex
Male
Sole proprietor
No
Enumeration date
Sep 13, 2017
Last updated
Sep 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAP10571AZYes

Practice location

2082 Mesquite Ave
Lake Havasu City, AZ 86403-6710

Phone 928-453-2727

Mailing address

2082 Mesquite Ave
Lake Havasu City, AZ 86403-6710

Phone 928-453-2727

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