Mary Susan Mcmahon in Eastpointe - Nurse Practitioner

Mary Susan Mcmahon - NPI 1821174012

Mary Susan Mcmahon is a Nurse Practitioner in Eastpointe, Michigan. Mary Susan Mcmahon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Susan Mcmahon is 1821174012. The last update date is 2007-07-08.

Mary Susan Mcmahon's current location address is 21300 Kelly Road, Eastpointe, Michigan. You can contact this provider via phone number 5864474200 and fax number 5864474208. The mailing address for Mary Susan Mcmahon is 21300 Kelly Road, Eastpointe, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Susan Mcmahon
Address 21300 Kelly Road, Eastpointe, Michigan
Phone Number 5864474200
Fax Number 5864474208
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1821174012
Provider Enumeration Date 2006-10-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21300 Kelly Road
City Eastpointe
State Michigan (MI)
Post Code 48021
Phone Number 5864474200
Fax Number 5864474208

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704101463
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Mary Susan Mcmahon

What is the unique 10-digit identification code assigned to Mary Susan Mcmahon by the Centers for Medicare & Medicaid Services?

The Mary Susan Mcmahon has been issued the NPI (National Provider Identifier) 1821174012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mary Susan Mcmahon is geographically located?

The Mary Susan Mcmahon is physically situated at the following location: 21300 Kelly Road, Eastpointe, MI, 48021.

What is the Mary Susan Mcmahon's area of specialization and corresponding taxonomy classification?

The Mary Susan Mcmahon's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Mary Susan Mcmahon receive the assignment of its 1821174012 from the Centers for Medicare & Medicaid Services?

The Mary Susan Mcmahon was issued its 1821174012 by the Centers for Medicare & Medicaid Services on 2006-10-31.

As of what date was the information regarding Mary Susan Mcmahon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Susan Mcmahon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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