Mahan, Vanita

Mahan, Vanita is an individual health care provider with primary practice located at 2824 Windguard Cir Suite 101, Wesley Chapel FL 33544-7369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mahan, Vanita can be contacted via phone (813) 731-2966.

Contact Information

Primary practice address
2824 Windguard Cir Suite 101 Wesley Chapel FL 33544-7369
Fax: (352) 567-5193
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1655502 Florida

Profile Details

NPI number 1922017540
LBN Legal business name Mahan, Vanita
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922017540 NPPES
Florida MEDICAID 034242400

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