Individual provider · Type 1 NPI
Madison Mahon
Family Nurse Practitioner · Homedale, ID
NPI number
1740130103
Active
Practice location
118 S 1st St W
Homedale, ID 83628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F01260998 (ID) |
Family Nurse Practitioner: Definition to come...
About NPI 1740130103
Madison Mahon's National Provider Identifier is 1740130103, issued on Feb 3, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Homedale, ID. The record was last updated on Oct 9, 2026.