Provider Demographics
NPI:1003617887
Name:MAAGHOP, MARY JONA (APRN)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:JONA
Last Name:MAAGHOP
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-8036
Mailing Address - Country:US
Mailing Address - Phone:775-790-3007
Mailing Address - Fax:
Practice Address - Street 1:2874 N CARSON ST STE 135
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1681
Practice Address - Country:US
Practice Address - Phone:775-319-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV887168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily