Individual
MRS. ROSE MARIE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
27546 E 705 RD, WAGONER, OK 74467-6698
(918) 485-6107
(918) 485-6106
Mailing address
27586 E 705 RD, WAGONER, OK 74467-6698
(918) 485-6107
(918) 485-6106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0049238
OK
Other
Enumeration date
04/01/2009
Last updated
04/03/2012
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