# MAHLKENP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUSAN MAHLKE NP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316517717
- **Authorized official:** SUSAN MAHLKE NP (NP)
- **Authorized official phone:** (401) 821-0787

## Contact information

- **Practice address:** 98 LOCKWOOD ST, WEST WARWICK, RI 02893-2109
- **Practice address phone:** (401) 821-0787
- **Mailing address:** 98 LOCKWOOD ST, WEST WARWICK, RI 02893-2109
- **Mailing address phone:** (401) 821-0787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2021
- **Last updated:** 06/28/2021