Carol Mallory, NURSE PRACTITIONER

NPI #1821243486 in Carson City, Nevada

Provider Information

NPI Number: 1821243486
Entity Type: Individual
Name: Carol Mallory, NURSE PRACTITIONER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NURSE PRACTITIONER
Enumeration Date: Nov 24, 2008
Last Updated: Nov 24, 2008

Practice Location

Address: 1231 COUNTRY CLUB DR
City: Carson City
State: Nevada
ZIP Code: 89703-8372
Phone: (775) 884-3990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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