KATHLEEN M MAHON CNP NPI 1790787505

NPI Information

  • NPI: 1790787505
  • Provider Name: KATHLEEN M MAHON, CNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1200 6TH AVE N
    SAINT CLOUD, MN
    ZIP 56303
  • Phone: (320) 252-5731

Map and Directions

Get Directions

NPI Details

Kathleen M Mahon, CNP is an adult health nurse practitioner in Saint Cloud, MN. Kathleen M Mahon, CNP NPI is 1790787505. 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:

1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-735
Phone: (320) 252-5731
Fax: (320) 240-2118

The enumeration date for this NPI number is 8/11/2005 and was last updated on 7/8/2007.

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
1363LA2200XNurse PractitionerAdult HealthR-121023-9MINNESOTAYes

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
11018331OTHERPREFERRED ONE
2123119OTHERU CARE
3HP26475OTHERHEALTH PARTNERS
452Q63MAOTHERBLUE CROSS BLUE SHIELD
5S66817MEDICARE UPIN
60404811OTHERMEDICA HEALTH PLANS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI