Individual
MARISSA MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-WHNP
Contact information
Practice address
8590 GEORGETOWN RD, INDIANAPOLIS, IN 46268-1647
(317) 872-3115
Mailing address
2074 MOBLEY DR, WESTFIELD, IN 46074-9896
(317) 430-1326
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209018511
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
71009725A
IN
Other
Enumeration date
12/19/2018
Last updated
03/11/2020
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