Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mavie Clinic Professional Nursing Corporation

Organization Family Nurse Practitioner · NPI 1245189190

Mavie Clinic Professional Nursing Corporation provides Family Nurse Practitioner services 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
Show map & directions

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

Other providers in Patterson