Individual
BRIAN D MAHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 N. NORTH HILLS BLVD., SUITE 110, FAYETTEVILLE, AR 72703
(479) 571-4338
(479) 571-4015
Mailing address
PO BOX 655, LOWELL, AR 72745-0655
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004167
AR
Other
Enumeration date
08/21/2014
Last updated
02/16/2018
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