Individual
DANA NOEL MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
61204675
WA
363L00000X
Nurse Practitioner
AP61204675
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61204675
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851061196
—
WA
Enumeration date
09/17/2021
Last updated
12/08/2021
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