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NPI 1215568357

NPI 1215568357 : KRISTI A MAHLMANN FNP-BC : UNION GAP, WA

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General NPI Number Information
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    NPI Number           |    1215568357
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTI A MAHLMANN FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/28/2020
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    1420 AHTANUM RIDGE DR 
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    City                 |    UNION GAP
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    State                |    WA
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    Zip                  |    98903-1839
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    Country              |    US
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    Telephone            |    509-454-7700
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    Fax                  |    509-454-7710
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Provider Business Mailing Address
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    Address Line         |    PO BOX 719 
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    City                 |    SUNNYSIDE
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    State                |    WA
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    Zip                  |    98944-0719
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    Country              |    US
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    Telephone            |    509-837-1617
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    Fax                  |    509-837-4908
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP61026558
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    License Number State |    WA
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