Active NPIIndividual provider

Mylah N Mahon-Davenda, NP

Nurse Practitioner in North Andover, Massachusetts

NPI Number1649615154
Practice location
565 Turnpike St Ste 85, North Andover, MA 01845-5936
Fax
—
Last updated
December 19, 2024

Mylah Nicole Mahon-Davenda is a Nurse Practitioner based in North Andover, MA. Mylah Nicole Mahon-Davenda practices in North Andover, MA and has the professional credentials of NP. The NPI Number for Mylah Nicole Mahon-Davenda is 1649615154 and holds a License No. Rn2277802 (MA). The current practice location address for Mylah Nicole Mahon-Davenda is 565 Turnpike St Ste 85, North Andover, MA 01845-5936 and can be reached out via phone at 978-519-4114.

Provider Profile Details

NPI Number
1649615154
Provider Name
Mylah Nicole Mahon-Davenda
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
565 Turnpike St Ste 85, North Andover, MA 01845-5936
Phone Number
978-519-4114
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
Mylah Nicole Mahon, NP (Former Name)
Provider Enumeration Date
May 10, 2013
Last Update Date
December 19, 2024
Certification Date
December 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
565 Turnpike St Ste 85
North Andover, MA 01845-5936
Zip
01845-5936
Phone Number
978-519-4114
North Andover, MA 01845Get directions →

Provider Business Mailing Address Details

Address
141 Dayton St
Danvers, MA 01923-1016
City
Danvers
State
MA
Zip
01923-1016
Phone Number
781-608-1968

License Information

License Number (1)
Rn2277802
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (2)
RN2277802
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
RN2277802
License State (3)
MA
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mylah N Mahon-Davenda, NP?

The NPI number of Mylah N Mahon-Davenda, NP is 1649615154. It was assigned on May 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Mylah N Mahon-Davenda, NP?

Mylah N Mahon-Davenda, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number Rn2277802.

Where does Mylah N Mahon-Davenda, NP practice?

The practice location is 565 Turnpike St Ste 85, North Andover, MA 01845-5936. The office can be reached at 978-519-4114 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649615154 directly on the NPPES registry website.

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