Kathleen M Mahon in Saint Cloud - Adult Health

Kathleen M Mahon - NPI 1790787505

Kathleen M Mahon is a Adult Health in Saint Cloud, Minnesota. Kathleen M Mahon practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Kathleen M Mahon is 1790787505. The last update date is 2007-07-08.

Kathleen M Mahon's current location address is 1200 6th Ave N, Saint Cloud, Minnesota. You can contact this provider via phone number 3202525731 and fax number 3202402118. The mailing address for Kathleen M Mahon is 1200 6th Ave N, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen M Mahon
Address 1200 6th Ave N, Saint Cloud, Minnesota
Phone Number 3202525731
Fax Number 3202402118
Sole Proprietor X
Credentials CNP

NPI Number Detail

NPI Number 1790787505
Provider Enumeration Date 2005-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1200 6th Ave N
City Saint Cloud
State Minnesota (MN)
Post Code 563032735
Phone Number 3202525731
Fax Number 3202402118

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No R-121023-9
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
404811 MEDICA HEALTH PLANS
1018331 PREFERRED ONE
HP26475 HEALTH PARTNERS
123119 U CARE
52Q63MA BLUE CROSS BLUE SHIELD

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FAQs about Kathleen M Mahon

What is the unique 10-digit identification code issued to Kathleen M Mahon by the Centers for Medicare & Medicaid Services?

The Kathleen M Mahon has been assigned the NPI (National Provider Identifier) 1790787505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kathleen M Mahon is physically located?

The Kathleen M Mahon is situated at the following address: 1200 6Th Ave N, Saint Cloud, MN 563032735.

What is the Kathleen M Mahon's specialty and taxonomy code?

The Kathleen M Mahon's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.

On what date did the Kathleen M Mahon receive the assignment of its 1790787505 from the Centers for Medicare & Medicaid Services?

The Kathleen M Mahon was issued its 1790787505 by the Centers for Medicare & Medicaid Services on 2005-08-11.

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

The information pertaining to Kathleen M 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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