BRIAN D MAHANA

FAYETTEVILLE, AR
NPI1902205248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A004167)
Enumeration Date2014-08-21
Last Update Date2018-02-16
Business Address
BRIAN D MAHANA
3211 N. NORTH HILLS BLVD. SUITE 110
FAYETTEVILLE, AR 72703
Phone number: 479-571-4338
Mailing Address
BRIAN D MAHANA
PO BOX 655
LOWELL, AR 72745-0655
Phone number: 479-463-7775