Individual
SAMANTHA MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2845 GREENBRIER RD STE 310, GREEN BAY, WI 54311-6519
(920) 288-8300
Mailing address
2861 FLOWERING PEACH DR, SUAMICO, WI 54313-3230
(414) 331-8741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15916-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100300592
—
WI
Enumeration date
10/15/2024
Last updated
01/14/2025
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