Individual
HALEY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6 TSIENNETO RD, SUITE 300, DERRY, NH 03038-1584
(603) 216-0400
(603) 216-3800
Mailing address
43 LAKEVIEW DR, NOTTINGHAM, NH 03290-4929
(603) 852-0991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0920
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920
LICENSE
NH
Enumeration date
11/09/2012
Last updated
12/10/2014
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