KATHLEEN MAHAN NP - NPI 1053488809 - Nurse Practitioner in Los Angeles, CA

Q: What is Kathleen Mahan's NPI number?

The NPI number for Kathleen Mahan is 1053488809. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Kathleen Mahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Mahan was last updated on December 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kathleen Mahan Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN MAHAN NP (NPI 1053488809) is an individual nurse practitioner in Los Angeles, California, licensed in California (NP14735) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1053488809

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN MAHANCredential: NP

Location Address400 W 30TH STLos Angeles, CA 90007-3320

Mailing Address400 W 30th StLos Angeles, CA 90007-3320 · (213) 284-3245

Phone(213) 284-3245

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateDecember 28, 2012

✔ NPI 1053488809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP14735

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

400 W 30TH ST, Los Angeles, CA 90007

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA BENITEZ WHNP, CNM

Nurse Practitioner (Women's Health)