Individual provider · Type 1 NPI

Samantha McMahon, FNP-BC

Nurse Practitioner · Green Bay, WI

NPI number 1003636879 Active

Practice location

2845 Greenbrier Rd Ste 310
Green Bay, WI 54311-6519

Mailing address

2861 Flowering Peach Dr
Suamico, WI 54313-3230

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X15916-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003636879

Samantha McMahon, FNP-BC's National Provider Identifier is 1003636879, issued on Oct 15, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Jan 14, 2025.