Individual
IRENE S MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2250 MILLARD HARRISON DR, MARANACOOK COMMUNITY SCHOOL STUDENT HEALTH CENTER, READFIELD, ME 04355
(207) 685-4923
(207) 685-9597
Mailing address
2250 MILLARD HARRISON DR, MARANACOOK COMMUNITY SCHOOL STUDENT HEALTH CENTER, READFIELD, ME 04355
(207) 685-4923
(207) 685-9597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R016171
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416800099
—
ME
Enumeration date
05/09/2006
Last updated
07/10/2008
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