KATHLEEN M MAHON CNP NPI 1790787505

NPI Information

NPI: 1790787505
Provider Name: KATHLEEN M MAHON, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-5731
Get Directions

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
1	363LA2200X	Nurse Practitioner	Adult Health	R-121023-9	MINNESOTA	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 Issuer
1	1018331	OTHER	PREFERRED ONE
2	123119	OTHER	U CARE
3	HP26475	OTHER	HEALTH PARTNERS
4	52Q63MA	OTHER	BLUE CROSS BLUE SHIELD
5	S66817	MEDICARE UPIN
6	0404811	OTHER	MEDICA 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: 11/14/2023

NPI Synchronization or Removal

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