Healthcare Provider Details

I. General information

NPI: 1457064966
Provider Name (Legal Business Name): ERIN ALICE MCMAHON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7460 S GARTRELL RD
AURORA CO
80016-4236
US

IV. Provider business mailing address

9151 GOLD LACE PL
HIGHLANDS RANCH CO
80129-5781
US

V. Phone/Fax

Practice location:
  • Phone: 303-529-3300
  • Fax:
Mailing address:
  • Phone: 303-957-7183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.0007624
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: