Individual provider · NPI-1

Erin Kay Mahoney, APRN, CNP

Nurse Practitioner, Pediatrics · Duluth, MN

NPI number1346870888
StatusActive
Last updated in NPPESDec 16, 2020

Details

NPI
1346870888
Entity type
Individual (NPI-1)
Name
Erin Kay Mahoney
Credential
APRN, CNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2020
Certification date
Dec 16, 2020
Last updated
Dec 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics7539MNYes
163W00000X Registered Nurse2325152MN

Other names

  • Erin Kay Van Dyke (Former Name)

Practice location

420 E 1st St
Duluth, MN 55805-1951

Phone 218-786-8364

Mailing address

400 E 3rd St
Ssb-5
Duluth, MN 55805-1951

Phone 218-786-3146

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