Individual provider · Type 1 NPI

Kathleen Ellen Mahan, ARNP

Nurse Practitioner · Fort Myers, FL

NPI number 1669474532 Active

Practice location

7381 College Pkwy, Suite 110
Fort Myers, FL 33907-5548

Fax (239) 481-1481

Mailing address

13740 Cypress Terrace Cir
Fort Myers, FL 33907-8827

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XARNP 1343402 (FL)
Nurse Practitioner Primary 363L00000XARNP1343402 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669474532

Kathleen Ellen Mahan, ARNP's National Provider Identifier is 1669474532, issued on Aug 11, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 4, 2014.