Individual
MAEGAN A MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 S MAIN ST STE 110, BREWER, ME 04412-2440
(207) 907-0492
Mailing address
814 FULLER RD, HERMON, ME 04401-0108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CNP211256
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNP211256
—
ME
Enumeration date
07/30/2021
Last updated
05/26/2026
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