Individual
KATHY A MAYHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-4475
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN217316L
PA
363L00000X
Nurse Practitioner
Primary
SP011566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031729140001
—
PA
Enumeration date
08/26/2011
Last updated
12/10/2019
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