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MS. KATHLEEN ELLEN MAHAN ARNP
NPI 1669474532
Nurse Practitioner in Fort Myers, FL

Active since August 11, 2005
7381 COLLEGE PKWY, SUITE 110, FORT MYERS, FL 33907(239) 482-1010(239) 481-1481 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathleen Ellen Mahan Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN ELLEN MAHAN ARNP (NPI 1669474532) is an individual nurse practitioner in Fort Myers, Florida, licensed in Florida (ARNP1343402) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1669474532
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KATHLEEN ELLEN MAHANCredential: ARNP
Location Address7381 COLLEGE PKWY, SUITE 110Fort Myers, FL 33907-5548
Mailing Address13740 Cypress Terrace CirFort Myers, FL 33907-8827 · (239) 275-5522 · Fax (239) 275-4464
Phone(239) 482-1010
Fax(239) 481-1481
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateAugust 4, 2014
✔ NPI 1669474532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP1343402
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP 1343402 (FL)
7381 COLLEGE PKWY, Fort Myers, FL 33907
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Other Identifiers 4

Medicaid070980800FL
Medicare PINY4431WFL
Medicaid303373200FL
Medicare PINY4431XFL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON PATRICK BURDZY DO
Family Medicine
7381 COLLEGE PKWY, SUITE 110
FORT MYERS, FL 33907
Lee County (239) 482-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Mahan's NPI number?

The NPI number for Kathleen Mahan is 1669474532. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Kathleen Mahan located?

Kathleen Mahan practices at 7381 College Pkwy Suite 110, Fort Myers, FL 33907. The listed phone number is (239) 482-1010.

What is Kathleen Mahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Mahan was last updated on August 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.