Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Elizabeth Revere McMahan, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1013786128

Mrs. Elizabeth Revere McMahan, AGPCNP-BC is an Adult Health Nurse Practitioner in Detroit, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704318459 (MI)

Record details

NPI number1013786128
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedDecember 29, 2023
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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