TIMOTHY J. MAHANEY APRN NPI 1386329514

NPI Information

  • NPI: 1386329514
  • Provider Name: TIMOTHY J. MAHANEY, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3665 SCHOOLHOUSE RD W UNIT 403
    FORT MYERS, FL
    ZIP 33916
  • Phone: (860) 736-7036

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NPI Details

Timothy J. Mahaney, APRN is a psychiatric/mental health nurse practitioner in Fort Myers, FL with 12 years of experience. Timothy J. Mahaney, APRN NPI is 1386329514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3665 SCHOOLHOUSE RD W UNIT 403
FORT MYERS, FL
ZIP 33916-208
Phone: (860) 736-7036

The NPI 1386329514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2023 and was last updated on 5/6/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health11026961FLORIDAYes

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: 3/30/2025

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