Individual
JUDITH CUNNINGHAM MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172213
VA
363L00000X
Nurse Practitioner
RN55780
DC
363LA2200X
Adult Health Nurse Practitioner
0024172213
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952350316
—
DC
Enumeration date
05/10/2006
Last updated
11/27/2023
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