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

MALLORY ELIZABETH CUSUMANO, NP

Active

MALLORY ELIZABETH CUSUMANO, NP is a Nurse Practitioner healthcare provider located in CHESTERFIELD, Missouri. NPI 1740797398 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CHESTERFIELD, MO

Registration Details

NPI Number
1740797398
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2018 (8.6023354748761 yrs)
Last Updated
May 20, 2025
Licenses
2018004643 (MO)
2018004643 (MO)

Practice Information

Address
224 S WOODS MILL RD STE 330S
CHESTERFIELD, MO, 630173497
Browse MO providers · Browse ZIP 63017
Phone
1435767013
Fax
3145764047
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CHESTERFIELD, MO

Name Credential NPI
CHERI M CARMODY RN BC ANP 1467453134
RHONDA C DONOVAN ANPC 1386637577
DOUGLAS ALLEN BOULDIN FNP-C 1770568727
COURTNEY D BAXTER-BAUBLITZ ANP 1477715191
JENNIFER DIANA CANALE NP 1609021187
MRS. SARAH ELLEN MAYER APRN 1316172208
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.