Mahony, Laura

Mahony, Laura is an sole proprietor health care provider with primary practice located at 301-6 Great Teays Blvd , Scott Depot WV 25560. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Mahony, Laura can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
301-6 Great Teays Blvd Scott Depot WV 25560
Fax: (304) 757-3252
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 33777 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 034 West Virginia

Profile Details

NPI number 1740269844
LBN Legal business name Mahony, Laura
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Apr 20th, 2009 - about 16 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 1740269844 NPPES
West Virginia MEDICAID 0160021000
West Virginia Other 001721061
West Virginia Other 7972174

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