Individual
DR. MICHELE N MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-2257
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-5354
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP10041
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10041
ARIZONA STATE BOARD OF NURSING
AZ
01
—
CNM04149
AMERICAN MIDWIFERY CERTIFICATION BOARD
—
Enumeration date
10/16/2017
Last updated
06/01/2022
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