Individual
ALISON MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6117 MONONA DR, MONONA, WI 53716-4303
(608) 807-6577
Mailing address
2670 MCGAW RD, FITCHBURG, WI 53711-5537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4437333748
WI
363L00000X
Nurse Practitioner
Primary
16384-33
WI
Other
Enumeration date
03/18/2019
Last updated
01/16/2025
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