Individual
LISA MARIE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
76711
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-105805-022
RN LICENSE
KS
01
—
76711
KS NP LICENSE
KS
Enumeration date
02/16/2015
Last updated
02/16/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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