Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Paul Andrew Mahnke, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1982123618

Mr. Paul Andrew Mahnke, ACNPC-AG is a Nurse Practitioner in Lake Havasu City, Arizona. Qualified in 2016, 10 years ago. Practices with Lakeside Heart and Vascular Center PLLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2017
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Practice location Address checks out

2082 Mesquite Ave
Lake Havasu City, AZ 86403-6710
Phone: (928) 453-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP10571 (AZ)

Record details

NPI number1982123618
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 23, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lakeside Heart And Vascular Center Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Havasu City