| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIMOTHY MAHNKE | 1477221000 | 2024-05-12 |
Timothy Mahnke is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477221000. Registration indicates Timothy Mahnke is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Timothy Mahnke |
| Practice Office Address | 1102 S RAYMOND RD SPOKANE VALLEY, WA US |
| Practice Office Telephone | 5098680876 |
| Mailing Address | PO BOX 2586 SPOKANE, WA 992202586 US |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA61352338
WA |