Individual provider · Type 1 NPI

Leah Victoria Mahoney, ANP

Adult Health Nurse Practitioner · Portland, ME

NPI number 1013950153 Active

Practice location

66 Bramhall St
Portland, ME 04102-3344

Fax (207) 662-4257

Mailing address

301C US Route 1
Scarborough, ME 04074-9701

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XCNP81875 (ME)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1013950153

Leah Victoria Mahoney, ANP's National Provider Identifier is 1013950153, issued on Jun 14, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, ME. The record was last updated on Jan 11, 2013.