Mahoney, Christine Marie

Mahoney, Christine Marie is an sole proprietor health care provider with primary practice located at 1025 N Country Club Dr , Mesa AZ 85201-3307. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Mahoney, Christine Marie can be contacted via phone (480) 472-1812.

Contact Information

Primary practice address
1025 N Country Club Dr Mesa AZ 85201-3307
Fax: (480) 472-1888
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN071489 Arizona

Profile Details

NPI number 1609090554
LBN Legal business name Mahoney, Christine Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609090554 NPPES
Arizona MEDICAID 796675

Popular Providers