Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER M MALCHAK, AGNP
Active Sole ProprietorHEATHER M MALCHAK, AGNP is a Adult Health Nurse Practitioner healthcare provider located in HOMER, New York. NPI 1255186011 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · HOMER, NY
Registration Details
- NPI Number
- 1255186011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2024 (2.3247277183601 yrs)
- Last Updated
- Aug 5, 2024
- Licenses
-
621264 (NY)311918 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
70 NORTH WEST STHOMER, NY, 13077Browse NY providers · Browse ZIP 13077
- Phone
- 3152250976
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health 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.