Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY MATHESON
Active Sole ProprietorMALLORY MATHESON is a Physician Assistant healthcare provider located in NORFOLK, Virginia. NPI 1235765306 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NORFOLK, VA
Registration Details
- NPI Number
- 1235765306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2020 (6.4233420934075 yrs)
- Last Updated
- Aug 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5900 LAKE WRIGHT DRNORFOLK, VA, 235021871Browse VA providers · Browse ZIP 23502
- Phone
- 7574668683
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| ANDREA L FOSTER | PA | 1376549758 |
| ERIC D POULIN | PA | 1255337143 |
| MR. DAVID GUTIERREZ | PA-C | 1033110127 |
| MS. BARBARA ANN MORRISON | PA-C | 1508850207 |
| MR. PHILIP JOHN DAUERNHEIM | PHYSICIAN ASSISTANT | 1003892852 |
| MR. JASON THOMAS CRUMP | PAC | 1104803170 |
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.