Individual
DR. ARETHA RENA MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-109465
AL
363L00000X
Nurse Practitioner
Primary
1-109465
AL
Other
Enumeration date
07/30/2014
Last updated
07/02/2020
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