Individual
MR. PAUL ANDREW MAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
2082 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-6710
(928) 453-2727
Mailing address
2082 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-6710
(928) 453-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP10571
AZ
Other
Enumeration date
09/13/2017
Last updated
09/23/2017
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