Mahoney, Moriah B.

Mahoney, Moriah B. is an individual health care provider with primary practice located at 2504 Camino Entrada , Santa Fe NM 87507-4851. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Mahoney, Moriah B. can be contacted via phone (505) 471-4985.

Contact Information

Primary practice address
2504 Camino Entrada Santa Fe NM 87507-4851
Phone: (505) 471-4985
Fax: (505) 471-6084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP01287 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R53421 New Mexico
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X CNP01287 New Mexico

Profile Details

NPI number 1902899362
LBN Legal business name Mahoney, Moriah B.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Nov 27th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902899362 NPPES
New Mexico MEDICAID 83871241

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