Mahoney, Moriah B.
Mahoney, Moriah B. is an individual health care provider with primary practice located at 400 Gold Ave Sw Ste 1300 , Albuquerque NM 87102-3274. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Community Health. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Mahoney, Moriah B. can be contacted via phone (505) 715-4610.Contact Information
Primary practice address
400 Gold Ave Sw Ste 1300
Albuquerque NM 87102-3274
Phone: (505) 715-4610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP01287 | New Mexico |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | CNP01287 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | CNP01287 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R53421 | New Mexico |
Profile Details
| NPI number | 1902899362 |
|---|---|
| LBN Legal business name | Mahoney, Moriah B. |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Feb 6th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902899362 | NPPES |
| New Mexico | MEDICAID | 83871241 |
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