Glenn Mahoney, PAC

Individual Active
NPI 1841263365
Medical Physician Assistant Lake Stevens, WA

NPI 1841263365 belongs to Glenn Mahoney, PAC, a medical physician assistant with a practice location in Lake Stevens, WA. The NPI was issued on February 8, 2006, and the record was last updated in NPPES on September 17, 2024. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 12451 (GA)
Medical Physician Assistant 363AM0700X PAC942 (NV)
Medical Physician Assistant 363AM0700X PA60042438 (WA)

Practice location

8910 Vernon Road
Lake Stevens, WA 98258
Phone: (425) 335-0966

Local context

Active NPPES records list 105 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 26 of them within 10 miles.

The same primary taxonomy is listed by 1,089 in Washington and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Glenn Andrew Mahoney
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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