Individual
CYNTHIA MARIE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
181 NW BUNNELL AVE, GRANTS PASS, OR 97526-6012
(541) 474-9400
(541) 474-2232
Mailing address
PO BOX 2552, GRANTS PASS, OR 97528-0213
(541) 244-1261
(541) 787-8130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200250078NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252
—
OR
01
—
200250078NP
STATE LICENSE#
OR
Enumeration date
05/04/2006
Last updated
10/05/2015
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