Individual
MRS. COURTNEY LYNN MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP, AGACNP
Contact information
Practice address
233 GILMER ST, REIDSVILLE, NC 27320-3809
(336) 342-6196
Mailing address
709 N CARR ST, MEBANE, NC 27302
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
279115
NC
363L00000X
Nurse Practitioner
Primary
5016880
NC
Other
Enumeration date
07/18/2022
Last updated
12/01/2022
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