Individual
MALORIE MARGUERITE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
123 E INDIANA AVE, SPOKANE, WA 99207-2313
(866) 904-7721
Mailing address
1720 GRAY LYNN DR, WALLA WALLA, WA 99362-9245
(509) 520-3410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
60569242
WA
363LP2300X
Primary Care Nurse Practitioner
60569242
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
60569242
WA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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