Marland H Mallette in Hattiesburg - Nurse Anesthetist, Certified Registered
Marland H Mallette - NPI 1215951959
Marland H Mallette is a Nurse Anesthetist, Certified Registered in Hattiesburg, Mississippi. Marland H Mallette practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Marland H Mallette is 1215951959. The last update date is 2020-08-10.
Marland H Mallette's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012613606 and fax number 6015795240. The mailing address for Marland H Mallette is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marland H Mallette |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012613606 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1215951959 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6012613606 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R748551 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118875 | MS | -- | |
| 640507572NZ | MS | AMERICAN ADMIN GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marland H Mallette by the Centers for Medicare & Medicaid Services?
The Marland H Mallette has been issued the NPI (National Provider Identifier) 1215951959 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Marland H Mallette is geographically located?
The Marland H Mallette is physically situated at the following location: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is Marland H Mallette's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marland H Mallette is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215951959 to Marland H Mallette?
The Centers for Medicare & Medicaid Services originally issued the 1215951959 to Marland H Mallette on 2006-07-26.
As of what date were the Marland H Mallette's details last updated?
The information pertaining to the Marland H Mallette, including its address, specialty, and other details, was most recently updated on 2020-08-10.