Healthcare Provider Details

I. General information

NPI: 1497083281
Provider Name (Legal Business Name): ASHLEY ERIN DARCY MAHONEY PHD, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ERIN DARCY PHD, ARNP

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 GRAND AVE
CORAL GABLES FL
33133-4841
US

IV. Provider business mailing address

907 PIEDMONT AVE NE UNIT #17
ATLANTA GA
30309-4117
US

V. Phone/Fax

Practice location:
  • Phone: 305-441-7179
  • Fax: 305-448-7134
Mailing address:
  • Phone: 954-263-2928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberARNP9290672
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberARNP9290672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: