Provider Demographics
NPI:1215706692
Name:MAHONEY, ALLISON T (APRN, AG-CNS, CMSRN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:T
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:APRN, AG-CNS, CMSRN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:BLASKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6598 LOUANN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-4940
Mailing Address - Country:US
Mailing Address - Phone:216-408-2402
Mailing Address - Fax:
Practice Address - Street 1:2500 METROHEALTH DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1900
Practice Address - Country:US
Practice Address - Phone:216-778-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.0019477364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical