CYNTHIA MARIE MAHONEY FNP NPI 1174571186

NPI Information

NPI: 1174571186
Provider Name: CYNTHIA MARIE MAHONEY, FNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
181 NW BUNNELL AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 474-9400
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Cynthia Marie Mahoney, FNP is an adult health nurse practitioner in Grants Pass, OR. Cynthia Marie Mahoney, FNP NPI is 1174571186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

181 NW BUNNELL AVE
GRANTS PASS, OR
ZIP 97526-012
Phone: (541) 474-9400
Fax: (541) 474-2232

The enumeration date for this NPI number is 5/4/2006 and was last updated on 10/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	200250078NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100252	MEDICAID	OREGON
2	200250078NP	OTHER	OREGON	STATE LICENSE#
3	P66553	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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