Mrs. Miranda Martin McMahan
Mrs. Miranda Martin McMahan is a Nurse Practitioner in Peoria, Illinois. Qualified in 2023, 3 years ago. Practices with Applebaum Physiatry PLLC, a 137-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
330 SW Adams StPeoria, IL 61602-1502
Phone: (309) 402-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209.029312 (IL) |
|---|
Record details
| NPI number | 1528823705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 16, 2024 |
| Last updated in NPPES | February 16, 2024 |
| Certification date | February 16, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Applebaum Physiatry Pllc — 137 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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