Basic Information
Provider Information
NPI: 1497083281
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARCY MAHONEY
FirstName: ASHLEY
MiddleName: ERIN
NamePrefix: DR.
NameSuffix:  
Credential: PHD, ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DARCY
OtherFirstName: ASHLEY
OtherMiddleName: ERIN
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: PHD, ARNP
OtherLastNameType: 1
Mailing Information
Address1: 907 PIEDMONT AVE NE
Address2: UNIT #17
City: ATLANTA
State: GA
PostalCode: 303094117
CountryCode: US
TelephoneNumber: 9542632928
FaxNumber:  
Practice Location
Address1: 215 GRAND AVE
Address2:  
City: CORAL GABLES
State: FL
PostalCode: 331334841
CountryCode: US
TelephoneNumber: 3054417179
FaxNumber: 3054487134
Other Information
ProviderEnumerationDate: 12/07/2009
LastUpdateDate: 10/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LN0005XARNP9290672FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
363LN0000XARNP9290672FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal

No ID Information.


Home