Individual
JANICE C MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006287
KY
363LF0000X
Family Nurse Practitioner
3006287
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3006287
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200976420
—
IN
05
—
7100099430
—
KY
Enumeration date
01/13/2010
Last updated
07/21/2023
Update your record
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