Mallory Louise Dehaes

NPI #1992569909 in Pensacola, Florida

Provider Information

NPI Number: 1992569909
Entity Type: Individual
Name: Mallory Louise Dehaes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 9, 2024
Last Updated: Feb 9, 2024

Practice Location

Address: 123 BAPTIST WAY
City: Pensacola
State: Florida
ZIP Code: 32503-2254
Phone: (850) 434-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Nurse Practitioner	363L00000X	Primary

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