Individual
BRENDA MAHNKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
91 MAIN ST, MARLBOROUGH, MA 01752-3845
(508) 854-3300
Mailing address
470 PLEASANT ST, WORCESTER, MA 01609-1823
(508) 854-3300
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
233914
MA
Other
Enumeration date
04/19/2007
Last updated
10/28/2010
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