Individual
CASEY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, FNP-C
Contact information
Practice address
5100 FALLS RD STE 168, BALTIMORE, MD 21210-1935
(410) 800-2134
Mailing address
824 S MACON ST, BALTIMORE, MD 21224-4439
(609) 462-8274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R215128
MD
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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