Individual
SIOBHAN KATHLEEN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH 3RD STREET BUILDING, DULUTH, MN 55805-1951
(218) 786-1216
Mailing address
400 E 3RD ST, ESSENTIA HEALTH 3RD STREET BUILDING, DULUTH, MN 55805-1951
(218) 786-1216
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1838-33
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054449300
—
MN
Enumeration date
07/11/2006
Last updated
07/16/2015
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