Mahoney, Sandra Lee Ann

Mahoney, Sandra Lee Ann is an individual health care provider with primary practice located at 3976 University Lake Dr Ste 300 , Anchorage AK 99508-4644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mahoney, Sandra Lee Ann can be contacted via phone (907) 222-9930.

Contact Information

Primary practice address
3976 University Lake Dr Ste 300 Anchorage AK 99508-4644
Phone: (907) 222-9930
Fax: (907) 222-9931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 942 Alaska

Profile Details

NPI number 1881711398
LBN Legal business name Mahoney, Sandra Lee Ann
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881711398 NPPES
Alaska MEDICAID 1581140

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