Healthcare Provider Details

I. General information

NPI: 1659356814
Provider Name (Legal Business Name): NANCY NKANSAH-MAHANEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY NKANSAH MD

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 SAINT CHARLES WAY
YORK PA
17402-4648
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-5050
  • Fax: 717-741-2427
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0097911
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD484359
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: