Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MALAK, AGNP-C
ActiveLISA MALAK, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in BAY HEAD, New Jersey. NPI 1093365199 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · BAY HEAD, NJ
Registration Details
- NPI Number
- 1093365199
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2019 (6.8592623981942 yrs)
- Last Updated
- May 9, 2024
- Licenses
-
26NJ00963300 (NJ)26NJ00963300 (NJ)
Practice Information
- Address
-
106 BRIDGE AVE STE 6BAY HEAD, NJ, 087425073Browse NJ providers · Browse ZIP 08742
- Phone
- 7329966935
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
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.