MS. Mary L. Mallory, NURSE PRACTIONER
NPI #1801087796 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1801087796
- Entity Type
- Individual
- Name
- MS. Mary L. Mallory, NURSE PRACTIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Community Health
- Credential
- NURSE PRACTIONER
- Enumeration Date
- Aug 6, 2007
- Last Updated
- Jul 1, 2014
Practice Location
- Address
- 401 HOLLY HILLS AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63111-2410
- Phone
- (314) 353-5190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Community Health — Community Health |
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