Individual
MRS. KASIE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1200 N ELM ST, SUITE GC201, GREENSBORO, NC 27401-1004
(336) 832-2840
(336) 832-3513
Mailing address
1200 N ELM ST, SUITE GC201, GREENSBORO, NC 27401-1004
(336) 832-2840
(336) 832-3513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009471
NC
Other
Enumeration date
04/27/2017
Last updated
09/20/2021
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