Individual
KIMBERLY MAHOWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7000 E HAMPDEN AVE, DENVER, CO 80224-3012
(303) 925-4960
(303) 925-4960
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 855-2224
(480) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
C-APN.0002265-C-NP
CO
363LF0000X
Family Nurse Practitioner
F06170809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307319
—
AZ
Enumeration date
06/29/2017
Last updated
01/11/2022
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