Healthcare Provider Details

I. General information

NPI: 1932930252
Provider Name (Legal Business Name): KERA A MAHONEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KERA ANN KELLY APRN

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MULBERRY ST
NASHUA NH
03060-3858
US

IV. Provider business mailing address

18 MULBERRY ST
NASHUA NH
03060-3858
US

V. Phone/Fax

Practice location:
  • Phone: 603-589-4500
  • Fax: 603-546-7089
Mailing address:
  • Phone: 603-589-4500
  • Fax: 603-546-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number082839-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: