Individual
CHRISTEN M MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
10000-00231
NC
367H00000X
Anesthesiologist Assistant
Primary
67.000185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043446040
TRICARE - NORTH REGION
NC
05
—
8000500
—
NC
01
—
P00742945
RAILROAD MEDICARE
NC
01
—
P01013330
MEDICARE RAILROAD
OH
Enumeration date
06/04/2009
Last updated
06/04/2013
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