JUDY MAE MAHAFFEY NPI 1578625943

NPI Information

  • NPI: 1578625943
  • Provider Name: JUDY MAE MAHAFFEY
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 2379 SUNNYSIDE AVE
    CLOVIS, CA
    ZIP 93611
  • Phone: (559) 292-1403

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NPI Details

Judy Mae Mahaffey is a case management registered nurse in Clovis, CA. Judy Mae Mahaffey NPI is 1578625943. 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:

2379 SUNNYSIDE AVE
CLOVIS, CA
ZIP 93611-052
Phone: (559) 292-1403

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/9/2007.

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
1163WC0400XRegistered NurseCase Management384248CALIFORNIAYes

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
1394248OTHERCALIFORNIARN
2RVN000360MEDICAIDCALIFORNIA
3EPS011820MEDICAIDCALIFORNIA

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: 11/21/2025

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