Individual
KENNETH MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 787-6131
(919) 571-2932
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6131
(919) 571-2932
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016918
NC
Other
Enumeration date
08/30/2022
Last updated
02/28/2023
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