Individual provider · Type 1 NPI

Kathleen Mahoney, RN MSN CPNP

Pediatric Nurse Practitioner · Phoenix, AZ

NPI number 1255380770 Active

Practice location

6601 W Thomas Rd
Phoenix, AZ 85033-5700

Mailing address

3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X226450 (AZ)
Pediatric Nurse Practitioner 363LP0200X2002018343 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1255380770

Kathleen Mahoney, RN MSN CPNP's National Provider Identifier is 1255380770, issued on May 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 27, 2019.