| NPI | 1316517717 |
|---|---|
| Doing Business As | SUSAN MAHLKE NP |
| Entity Type | Organization |
| Authorized Contact | SUSAN MAHLKE Np 401-821-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |