Individual
SIRENA J MC MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4350
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7717-33
WI
363LF0000X
Family Nurse Practitioner
7717-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075591
—
WI
Enumeration date
06/28/2017
Last updated
03/02/2020
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