Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mavie Clinic Professional Nursing Corporation

Organization Family Nurse Practitioner · NPI 1245189190

Mavie Clinic Professional Nursing Corporation is a Family Nurse Practitioner in Patterson, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

109 Portrait Ln
Patterson, CA 95363-8341
Phone: (209) 806-4841
Fax: (209) 290-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1245189190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mukhtar Kohistani — President · (209) 806-4841
Other names Mavie Clinic
NPI enumeratedJanuary 23, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address109 Portrait Ln, Patterson, CA 95363-8341

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