Individual provider · Type 1 NPI
Elizabeth Revere McMahan, AGPCNP-BC
Adult Health Nurse Practitioner · Detroit, MI
NPI number
1013786128
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
9450 S Saginaw Rd Ste E
Grand Blanc, MI 48439-8206
Other practice locations
- 9450 S Saginaw Rd Ste E, Grand Blanc, MI 48439-8206 · (810) 695-4000
- 4000 Highland Rd Ste 130, Waterford, MI 48328-2168 · (248) 681-0455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704318459 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1013786128
Elizabeth Revere McMahan, AGPCNP-BC's National Provider Identifier is 1013786128, issued on Dec 29, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jun 22, 2026.