SearchMichigan363A00000X

Abigail Mahoney, PA-C

NPI 1164177572 · on the registry since 2022 · sole proprietor

Practice

Address
4077 S Cleveland Ave
Saint Joseph, MI 49085
Phone
(269) 429-2992
Fax
(269) 429-3372
Organisation at this address
Frederick W. Born
Lakeland Medical Practices
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
OH, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan