Tracy Mahon in Williamson - Licensed Practical Nurse

Tracy Mahon - NPI 1760607980

Tracy Mahon is a Licensed Practical Nurse in Williamson, . Tracy Mahon practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tracy Mahon is 1760607980. The last update date is 2007-07-08.

Tracy Mahon's current location address is 1609 W 3rd Ave, Williamson, . You can contact this provider via phone number 3042350026. The mailing address for Tracy Mahon is 1609 W 3rd Ave, Williamson, . To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Mahon
Address 1609 W 3rd Ave, Williamson,
Phone Number 3042350026
Fax Number
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1760607980
Provider Enumeration Date 2007-04-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1609 W 3rd Ave
City Williamson
State (WV)
Post Code 256613006
Phone Number 3042350026
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 25675
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Tracy Mahon

What is the Tracy Mahon's unique identification number?

The Tracy Mahon has been assigned the NPI (National Provider Identifier) Number 1760607980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Tracy Mahon's facilities are geographically located?

The facilities of Tracy Mahon are physically situated at the following location: 1609 W 3Rd Ave, Williamson, WV, 256613006.

What is Tracy Mahon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracy Mahon is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.

On what date did the Tracy Mahon receive the assignment of its 1760607980 from the Centers for Medicare & Medicaid Services?

The Tracy Mahon was issued its 1760607980 by the Centers for Medicare & Medicaid Services on 2007-04-14.

When was the information regarding Tracy Mahon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tracy Mahon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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