Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANNE MALLISON
ActiveChild & Adolescent Psychiatric Nurse · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1407832892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2005 (20.377626126717 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R0600015 (MN)
Practice Information
- Address
-
5320 HYLAND GREENS DRBLOOMINGTON, MN, 554373934Browse MN providers · Browse ZIP 55437
- Phone
- 9529932550
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| MS. SHIRLYNN MC NEIL LA CHAPELLE | PMHNP-BC | 1306593710 |
| MELANIE BATES | — | 1093585077 |
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.