Individual
SHANNON MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 100, AUSTIN, TX 78723-2913
(512) 744-6000
(512) 583-0440
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 583-9679
(512) 233-0985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
752993
TX
363LF0000X
Family Nurse Practitioner
AP124880
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP124880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3354680-02
—
TX
Enumeration date
01/28/2014
Last updated
10/04/2024
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