Provider Demographics
NPI:1881365864
Name:MCGUFFIN, MAEGEN (NP-C)
Entity type:Individual
Prefix:
First Name:MAEGEN
Middle Name:
Last Name:MCGUFFIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6743 MEMORIAL DR.
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5249
Mailing Address - Country:US
Mailing Address - Phone:325-794-5348
Mailing Address - Fax:325-794-5345
Practice Address - Street 1:6743 MEMORIAL DR.
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-4929
Practice Address - Country:US
Practice Address - Phone:325-794-5348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily