Beverly Mallon is a Neonatal in Richmond, Virginia. Beverly Mallon practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Beverly Mallon is 1134309669. The last update date is 2007-11-13.
Beverly Mallon's current location address is 412 Libbie Ave, Richmond, Virginia. You can contact this provider via phone number 8042828082 and fax number 8042829082. The mailing address for Beverly Mallon is 412 Libbie Ave, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Mallon |
|---|---|
| Address | 412 Libbie Ave, Richmond, Virginia |
| Phone Number | 8042828082 |
| Fax Number | 8042829082 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1134309669 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 412 Libbie Ave |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232262659 |
| Phone Number | 8042828082 |
| Fax Number | 8042829082 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | 24167392 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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What is the unique 10-digit identifier code assigned to Beverly Mallon by the Centers for Medicare & Medicaid Services?
The Beverly Mallon has been issued the NPI (National Provider Identifier) 1134309669 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Beverly Mallon located?
The Beverly Mallon is located at 412 Libbie Ave, Richmond, VA 232262659.
What is the Beverly Mallon's specialty and taxonomy code?
The Beverly Mallon's specialty is Neonatal, and the corresponding taxonomy code is 363Ln0000X.
When did Beverly Mallon receive its 1134309669 assignment?
The Beverly Mallon was assigned its 1134309669 on 2007-11-13, which is the date when this unique identifier was issued to the organization.
As of what date were the Beverly Mallon's details last updated?
The information pertaining to the Beverly Mallon, including its address, specialty, and other details, was most recently updated on 2007-11-13.