Individual
KRISTIN MARIE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2156
(860) 892-8012
(860) 892-8027
Mailing address
620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2156
(860) 892-8012
(860) 892-8027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004797
CT
Other
Enumeration date
09/14/2011
Last updated
09/08/2021
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