LISA JO MAHONEY AGACNP-BC NPI 1861875635

NPI Information

NPI: 1861875635
Provider Name: LISA JO MAHONEY, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: ST LUKES METHODIST HOSPITAL

PECOS Registration: Yes

Address:
202 10TH ST SE STE 225
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 531-6337
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Lisa Jo Mahoney, AGACNP-BC is an acute care nurse practitioner in Cedar Rapids, IA with 9 years of experience. Lisa Jo Mahoney, AGACNP-BC NPI is 1861875635. 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:

202 10TH ST SE STE 225
CEDAR RAPIDS, IA
ZIP 52403-419
Phone: (319) 531-6337

The NPI 1861875635 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 6/29/2015 and was last updated on 6/29/2015.

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	363LA2100X	Nurse Practitioner	Acute Care	H108907	IOWA	Yes

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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