Individual
KRISTINA TIFFANY MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1173 S 250 W, SUITE 101, ST GEORGE, UT 84770-6392
(435) 619-0519
Mailing address
30 E 200 N, LA VERKIN, UT 84745-5304
(435) 619-0519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
372279-4405
UT
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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