DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALISSA HALLAHAN

Active Sole Proprietor

MALISSA HALLAHAN is a Nurse Practitioner healthcare provider located in MODESTO, California. NPI 1003379207 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MODESTO, CA

Registration Details

NPI Number
1003379207
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2019 (7.3830315922506 yrs)
Last Updated
Mar 3, 2020
Licenses
1-141039 (AL)
NP95013990 (CA)
Sole Proprietor
Yes

Practice Information

Address
1500 FLORIDA AVE
MODESTO, CA, 953504408
Browse CA providers · Browse ZIP 95350
Phone
8666824842
Fax
8774356573
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in MODESTO, CA

Name Credential NPI
SHEILA HERNANDEZ-LEE FNP 1609859008
JANE HELLMAN FNP/MSN 1720048515
MRS. KATHLYNN L. COLLINS FNP/MSN 1467413849
JOANNE KIEFFER HELFER NP 1740242254
LISA EPPERS NP 1629031042
BARBARA RUDDY NP 1326001074
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.