Provider Demographics
NPI:1386647667
Name:MAHONEY, DORIEN RUMSEY (RN, BSN, MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DORIEN
Middle Name:RUMSEY
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:RN, BSN, MSN, FNP-C
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Other - First Name:
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Mailing Address - Street 1:1301 CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1209
Mailing Address - Country:US
Mailing Address - Phone:504-833-7844
Mailing Address - Fax:504-833-7844
Practice Address - Street 1:6823 SAINT CHARLES AVE
Practice Address - Street 2:BLDG 92
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5665
Practice Address - Country:US
Practice Address - Phone:504-865-5708
Practice Address - Fax:504-862-8914
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP03851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily