Individual
KATHLEEN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2002018343
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
226450
AZ
Other
Enumeration date
05/10/2006
Last updated
06/27/2019
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