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NPI Code Detail

MEDICARE: DORIS A MCMAHON APMHNP

MEDICARE: DORIS A MCMAHON APMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner050274MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760473151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS A MCMAHON APMHNP
Provider Business Mailing Address
First Line : 9115 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3663
Country : US
Telephone Number : 816-288-9085
Fax Number : 417-448-2492
Provider Business Practice Location Address
First Line : 800 S ASH ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-3223
Country : US
Telephone Number : 417-448-3690
Fax Number : 417-448-2492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 05/03/2018

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