NPI 1023879657

Kaitlyn Marie Mahaffy

Practitioner Family Nurse Practitioner Port Huron, MI

Practice location

Address: 1210 10th Ave, Port Huron, MI 48060-3406
Phone: (810) 662-3505

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 4704360402 (MI)

Other Nurse Practitioner providers in Michigan →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 4704360402 (MI)

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Registry record

NPI: 1023879657
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2024
Record last updated: 22 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.