Individual
DORIS A MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP
Contact information
Practice address
800 S ASH ST, NEVADA, MO 64772-3223
(417) 448-3690
(417) 448-2492
Mailing address
9115 WORNALL RD, KANSAS CITY, MO 64114-3663
(816) 288-9085
(417) 448-2492
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
050274
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427267802
—
MO
Enumeration date
11/03/2005
Last updated
05/03/2018
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