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Individual

MS. MORIAH B. MAHONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
400 GOLD AVE SW STE 1300, ALBUQUERQUE, NM 87102-3274
(505) 715-4610
Mailing address
3304 MOUNTAIN RD NE, ALBUQUERQUE, NM 87106-1920
(505) 426-7686
(505) 471-6084

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
CNP01287
NM
363LC1500X
Community Health Nurse Practitioner
CNP01287
NM
363LF0000X
Family Nurse Practitioner
CNP01287
NM
363LF0000X
Family Nurse Practitioner
R53421
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83871241
NM
Enumeration date
08/31/2005
Last updated
02/06/2026
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