Provider Demographics
NPI:1992156210
Name:MAHLIK, KARI LYNN (APNP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LYNN
Last Name:MAHLIK
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYNN
Other - Last Name:PLOG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1048 GLORY RD STE A
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-5664
Mailing Address - Country:US
Mailing Address - Phone:920-676-8327
Mailing Address - Fax:
Practice Address - Street 1:7353 HORSESHOE BAY RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR
Practice Address - State:WI
Practice Address - Zip Code:54209-8943
Practice Address - Country:US
Practice Address - Phone:920-676-8327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7020-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
2016011210OtherAMERICAN NURSES CREDENTIALING CENTER