Active NPIIndividual provider

Kristin M Mahan

Nurse Practitioner, Family in Uncasville, Connecticut

NPI Number1750663860
Practice location
620 Norwich New London Tpke, Uncasville, CT 06382-2156
Fax
860-892-8027
Last updated
September 8, 2021

Kristin Marie Mahan is a Nurse Practitioner, Family based in Uncasville, CT. Kristin Marie Mahan practices in Uncasville, CT. The NPI Number for Kristin Marie Mahan is 1750663860 and holds a License No. 004797 (CT). The current practice location address for Kristin Marie Mahan is 620 Norwich New London Tpke, Uncasville, CT 06382-2156 and can be reached out via phone at 860-892-8012 and via fax at 860-892-8027.

Provider Profile Details

NPI Number
1750663860
Provider Name
Kristin Marie Mahan
Provider Entity Type
Individual
Gender
Female
Address
620 Norwich New London Tpke, Uncasville, CT 06382-2156
Phone Number
860-892-8012
Fax Number
860-892-8027
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2011
Last Update Date
September 8, 2021
Certification Date
July 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
620 Norwich New London Tpke
Uncasville, CT 06382-2156
Zip
06382-2156
Phone Number
860-892-8012
Fax Number
860-892-8027
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
620 Norwich New London Tpke
Uncasville, CT 06382-2156
City
Uncasville
State
CT
Zip
06382-2156
Phone Number
860-892-8012
Fax Number
860-892-8027

License Information

License Number
004797
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin M Mahan?

The NPI number of Kristin M Mahan is 1750663860. It was assigned on September 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Kristin M Mahan?

Kristin M Mahan is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 004797.

Where does Kristin M Mahan practice?

The practice location is 620 Norwich New London Tpke, Uncasville, CT 06382-2156. The office can be reached at 860-892-8012 (phone) or 860-892-8027 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750663860 directly on the NPPES registry website.

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