Doctor Name: | DEBORAH MAHONY |
NPI Number: | 1083754014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC |
License Number: | 166393 |
Business Practice Address: | Mgh Chelsea Health Center 151 Everett Avenue Chelsea, MA - 02150 |
Business Phone Number: | 6178898520 |
Business Fax Number: | |
Mailing Address: | 45 Crescent Ave, SCITUATE |
State: | MA |
Postal Code: | 020664310 |
Phone Number: | 7815440300 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 166393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |