Individual
PAMELA MIRANDA MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
7556 TEAGUE RD STE 112, HANOVER, MD 21076-1969
(410) 595-0182
(410) 595-0182
Mailing address
7556 TEAGUE RD STE 112, HANOVER, MD 21076-1969
(410) 595-0182
(410) 595-0182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AC002054
MD
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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