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

MALLORY NICHOLE MATUSIK, FNP

Active Sole Proprietor

MALLORY NICHOLE MATUSIK, FNP is a Family Nurse Practitioner healthcare provider located in DEMOTTE, Indiana. NPI 1386379501 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · DEMOTTE, IN

Registration Details

NPI Number
1386379501
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2022 (4.0243578652982 yrs)
Last Updated
Jul 23, 2022
Licenses
28229514A (IN)
71012811A (IN)
Sole Proprietor
Yes

Practice Information

Address
519 N HALLECK ST
DEMOTTE, IN, 463109553
Browse IN providers · Browse ZIP 46310
Phone
2199877750
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in DEMOTTE, IN

Name Credential NPI
MRS. FRANCES CLARK APRN MSN FNP CS 1689602468
FRANCES JEAN SMITH FNP 1720113160
HELEN ANDERSON FNPC 1619391364
KERI J. SMITH FNP 1720533201
MR. ZACHARY LAWRENCE JESKO FNP-C 1063963619
MR. ADAM LEESTMA FNP 1891230140
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.