Individual provider · Type 1 NPI

Corrie McMahon, FNP

Family Nurse Practitioner · Wauconda, IL

NPI number 1104423094 Active

Practice location

431 W Liberty St
Wauconda, IL 60084-2452

Fax (847) 526-2017

Mailing address

PO Box 6037
Wauconda, IL 60084-6037

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X041458922 (IL)
Family Nurse Practitioner Primary 363LF0000X209022198 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1104423094

Corrie McMahon, FNP's National Provider Identifier is 1104423094, issued on Oct 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wauconda, IL. The record was last updated on Oct 28, 2020.