Individual
LEAH VICTORIA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-4257
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81875
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30349017
—
NH
Enumeration date
06/14/2006
Last updated
01/11/2013
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