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NPI Code Detail

MEDICARE: MRS. EILEEN FRANCES MAHLER FNP

MEDICARE: MRS. EILEEN FRANCES MAHLER FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP5307AZ

General Provider Information

NPI Number : 1922438563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EILEEN FRANCES MAHLER FNP
Provider Business Mailing Address
First Line : 3149 N WINDSONG DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-2240
Country : US
Telephone Number : 928-445-6083
Fax Number : 928-775-2307
Provider Business Practice Location Address
First Line : 286 S LENZNER AVE
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-5685
Country : US
Telephone Number : 520-452-0388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2013
Last Update Date : 12/21/2018

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