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

ALICE DEMALLIE, NP

Active

ALICE DEMALLIE, NP is a Family Nurse Practitioner healthcare provider located in SHORTSVILLE, New York. NPI 1730195314 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SHORTSVILLE, NY

Registration Details

NPI Number
1730195314
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2006 (20.073159253187 yrs)
Last Updated
Mar 30, 2015
Licenses
532237 (NY)
334147 (NY)

Practice Information

Address
15 CANANDAIGUA ST
SHORTSVILLE, NY, 145489763
Browse NY providers · Browse ZIP 14548
Phone
5852893560
Fax
5852893570
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family 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.