Deborah Mahoney
Individual provider Active NPI Licensed Vocational Nurse · Casco, ME
NPI 1821740101 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1821740101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- LPN12682 (ME)
- Practice address
- 1366 Deer Run
Casco, ME 04015-3688 - Phone
- (781) 771-4484
- NPI assigned
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN12682 | ME | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Resource Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | LPN12682 | ME | Yes |
Addresses
Primary practice location
1366 Deer Run
Casco, ME 04015-3688
Mailing address
1366 Deer Run
Casco, ME 04015-3688
Phone (781) 771-4484
Other providers in Casco, ME
- Leanne Marie Inman
- Jackpot
- Living Innovations Support Services LLC
- M.S.a.D. #61
- M.S.a.D. #61
- Maine Surgical Assistants, PC
- Misty Marston
- Virginia Russell Mujica
- Clifford E Pierce
- Karen Elizabeth Rendall
All providers in Casco, ME · Licensed Vocational Nurse in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.