Individual
LAURA MAHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
301-6 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-6999
(304) 757-3252
Mailing address
301-6 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
33777
WV
367A00000X
Advanced Practice Midwife
Primary
034
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721061
MS BCBS
WV
05
—
0160021000
—
WV
01
—
7972174
AETNA
WV
Enumeration date
01/17/2006
Last updated
04/20/2009
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