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1932930252 NPI number — KERA A MAHONEY APRN

NPI Number: 1932930252
Health Care Provider/Practitioner: KERA A MAHONEY APRN

Information about “1932930252” NPI (KERA A MAHONEY APRN) exists in 1932930252 in HTML format HTML  |  1932930252 in plain Text format TXT  |  1932930252 in PDF (Portable Document Format) PDF  |  1932930252 in an XML format XML  formats.

NPI Number : 1932930252 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932930252",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAHONEY",
    "FirstName": "KERA",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KELLY",
    "OtherFirstName": "KERA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 810",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HANOVER",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03755-0810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-308-1467",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14 ARMORY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILFORD",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03055-3405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-673-2515",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2024",
    "LastUpdateDate": "05/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "082839-23",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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