Casey Kenyon Mahle CPNP-PC

NPI 1508155169 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1508155169
Gender Female
Enumeration Date 04/05/2011
Last Updated 02/02/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
114 KINDERTON BLVD
ADVANCE NC, 27006-7302, US
Phone (336) 998-9742
Fax (336) 998-9410
Business Location
1701 WESTCHESTER DR
SUITE 850
HIGH POINT NC, 27262-7008, US
Phone (336) 802-2400
Fax (336) 802-2536
Toxanomy
Taxonomy Code 363LP0200X
License State Ohio
License Number 12286-NP
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According to our database, Casey Kenyon Mahle CPNP-PC NPI is 1508155169, taxonomy code is 363LP0200X and license number is 12286-NP, license state is located at Ohio. Casey Kenyon Mahle CPNP-PC physically located at 114 Kinderton Blvd, Advance NC, 27006-7302. NPI Number Casey Kenyon Mahle CPNP-PC has the Individual type.

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1508155169 NPI number is provided on an as is basis without warranty of any kind. 1508155169 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Kenyon Mahle CPNP-PC are for informational purposes only.