Phillip A Mallory in Fresno - Nurse Practitioner
Phillip A Mallory - NPI 1508892696
Phillip A Mallory is a Nurse Practitioner in Fresno, California. Phillip A Mallory practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Phillip A Mallory is 1508892696. The last update date is 2014-06-12.
Phillip A Mallory's current location address is 2881 E Richmond Ave, Fresno, California. You can contact this provider via phone number 2096074953. The mailing address for Phillip A Mallory is 2881 E Richmond Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip A Mallory |
|---|---|
| Address | 2881 E Richmond Ave, Fresno, California |
| Phone Number | 2096074953 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1508892696 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2014-06-12 |
Provider Mailing Address Detail
| Address | 2881 E Richmond Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937204976 |
| Phone Number | 2096074953 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 488728 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9867 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phillip A Mallory by the Centers for Medicare & Medicaid Services?
The Phillip A Mallory has been issued the NPI (National Provider Identifier) 1508892696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Phillip A Mallory is physically located?
The Phillip A Mallory is situated at the following address: 2881 E Richmond Ave, Fresno, CA 937204976.
What is the Phillip A Mallory's area of specialization and corresponding taxonomy classification?
The Phillip A Mallory's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Phillip A Mallory's 1508892696 issued?
The Phillip A Mallory's 1508892696 was issued on 2006-06-23.
When was the information related to Phillip A Mallory most recently updated or refreshed?
The details pertaining to the Phillip A Mallory, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-12.
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