Individual provider · Type 1 NPI

Gerard H. Mohan, APRN-BC

Family Nurse Practitioner · Cottonwood, AZ

NPI number 1043302433 Active

Practice location

450 S Willard St, Suite 115
Cottonwood, AZ 86326-6743

Call (928) 634-5551 Map

Fax (928) 634-5604

Mailing address

1200 N Beaver St, Payer Credentialing
Flagstaff, AZ 86001-3118

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	AP2009 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1043302433

Gerard H. Mohan, APRN-BC's National Provider Identifier is 1043302433, issued on Sep 29, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cottonwood, AZ. The record was last updated on Dec 8, 2015.