Leah Victoria Mahoney ANP

NPI 1013950153 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1013950153
Gender Female
Enumeration Date 06/14/2006
Last Updated 01/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
66 BRAMHALL ST
PORTLAND ME, 04102-3344, US
Phone (207) 662-3157
Fax (207) 662-4257
Business Location
301C US ROUTE 1
SCARBOROUGH ME, 04074-9701, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 363LA2200X
License State Maine
License Number CNP81875
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According to our database, Leah Victoria Mahoney ANP NPI is 1013950153, taxonomy code is 363LA2200X and license number is CNP81875, license state is located at Maine. Leah Victoria Mahoney ANP physically located at 66 Bramhall St, Portland ME, 04102-3344. NPI Number Leah Victoria Mahoney ANP has the Individual type.

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1013950153 NPI number is provided on an as is basis without warranty of any kind. 1013950153 is maintained by the National Plan & Provider Enumeration System. The contents of Leah Victoria Mahoney ANP are for informational purposes only.