NPI

Amanda M McMahon

NPI 1477007250

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LAC
Type
Individual
Enumeration date
2016-08-09
Last updated
2025-04-14

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Specialties

Licenses

License ND
1801

Location

Practice location
7795 Saint Gertrude Ave
City
Raleigh ND
Postal code
58564-4103
Phone
(701) 597-3419

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Raleigh, ND. 28 records in the public file.

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