Individual
MARGARET MARY MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-0859
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-0839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R207325
MD
363L00000X
Nurse Practitioner
RN1010169
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541075400
—
MD
01
—
S062-0569
CAREFIRST BC/BS
MD
Enumeration date
08/06/2010
Last updated
06/19/2015
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