NPI Profile for HEATHER MAUCK in HOXIE, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
163WP0808X |
| NPI # | 1245563782 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/16/2009 | |
| Last updated | 10/08/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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HEATHER MAUCK
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