# LAURA MAHONY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740269844
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 33777 | WV | — |
| 367A00000X | Advanced Practice Midwife | 034 | WV | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 04/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001721061 | MS BCBS | WV |
| 05 | — | 0160021000 | — | WV |
| 01 | — | 7972174 | AETNA | WV |