Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACIE M MALLON, FNP-C
ActiveFamily Nurse Practitioner · WOODWARD, IA
Registration Details
- NPI Number
- 1720614456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2020 (6.1278602734156 yrs)
- Last Updated
- Mar 13, 2020
- License
-
A157443 (IA)
Practice Information
- Address
-
30865 130TH CTWOODWARD, IA, 502766209Browse IA providers · Browse ZIP 50276
- Phone
- 5154909739
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.