Individual
MARY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, CRNP
Contact information
Practice address
555 PA-217, #1, LATROBE, PA 15650
(724) 694-2723
Mailing address
1337 FOXBORO DR, MONROEVILLE, PA 15146-4439
(724) 953-4889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP025695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP025695
LICENSE NUMBER
PA
Enumeration date
05/26/2022
Last updated
09/10/2025
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