Mahan, Wesley S

Mahan, Wesley S is an individual health care provider with primary practice located at 5606 Westshore Dr , New Port Richey FL 34652-3032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mahan, Wesley S can be contacted via phone (727) 846-0065.

Contact Information

Primary practice address
5606 Westshore Dr New Port Richey FL 34652-3032
Phone: (727) 846-0065
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1549802 Florida

Profile Details

NPI number 1265524144
LBN Legal business name Mahan, Wesley S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2010 - about 14 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 1265524144 NPPES
Florida Other G0087 BLUE CROSS BLUE SHIELD
Florida Other P00029835 BLUE CROSS BLUE SHIELD
Florida MEDICAID 033670000 BLUE CROSS BLUE SHIELD

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