Mary Dougherty O'Hanlan, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN00161 Issued in NV

Practice address

8905 S Pecos Rd
Suite 23a
Henderson, NV 89074-7147

Phone

(702) 734-8311

Fax

(702) 731-2871

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mimi O'Hanlan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1386977858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 S PECOS RD",
            "address_2": "SUITE 23A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747147",
            "telephone_number": "702-734-8311",
            "fax_number": "702-731-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 S PECOS RD",
            "address_2": "SUITE 23A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747147",
            "telephone_number": "702-734-8311",
            "fax_number": "702-731-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLAN",
        "first_name": "MARY",
        "middle_name": "DOUGHERTY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN00161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "O'HANLAN",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa O'Berto, SLP-CCC
• Jody O'Brien
• Britney Jan O'Connell, NBC-HWC
• Carol L O'Connell, PSY.D.
• April O'Donnell-Haertel
• Michael Anthony O'Hanlan, M.D.
• Lauryn O'Hara
• Kaitlyn Paige O'Kelly, OTR/L
• Charlotte O'Neal
• Pamela Gay O'Neil, APRN

• Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.