Individual
SHIRLEY ANN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
040470-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105322
—
NH
Enumeration date
04/16/2014
Last updated
11/18/2016
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