Individual
DAWN MARIE MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6910 N MAIN ST UNIT 4, GRANGER, IN 46530-9681
(574) 281-0202
(574) 990-4409
Mailing address
684 E 950 N, WESTVILLE, IN 46391-9446
(219) 508-0510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71007502A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28197241A
RN LICENSE
IN
05
—
300006504
—
IN
05
—
300086931
—
IN
Enumeration date
06/25/2017
Last updated
02/15/2025
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