Individual
CONSTANCE LOUISE MAHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
757 W MAIN ST, LEBANON, KY 40033-1838
(270) 972-4186
Mailing address
2294 LOWER BRUSH CREEK RD LOWR BRUSH, LIBERTY, KY 42539-6339
(317) 427-8240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4022839
KY
363LF0000X
Family Nurse Practitioner
Primary
4022839
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
4022839
KY
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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