Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORI WISURI HATHAWAY, PA-C
ActiveMALLORI WISURI HATHAWAY, PA-C is a Physician Assistant healthcare provider located in SCOTTSBURG, Indiana. NPI 1861019689 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SCOTTSBURG, IN
Registration Details
- NPI Number
- 1861019689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2020 (6.0919443977396 yrs)
- Last Updated
- Nov 12, 2025
- License
-
10003222A (IN)
Practice Information
- Address
-
1428 N GARDNER STSCOTTSBURG, IN, 471708720Browse IN providers · Browse ZIP 47170
- Phone
- 8127523512
- Fax
- 8127528593
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SCOTTSBURG, IN
| Name | Credential | NPI |
|---|---|---|
| MS. SHELBY CHRISTINA MARGARET HOUSE | P.A.-C. | 1639284581 |
| MRS. ADRIENNE D PARKS | PAC | 1518214865 |
| MS. REBECCA SUE KOOPMAN | PA-C | 1043883259 |
| TYLER JORDAN SATTERFIELD | PA-C | 1346071628 |
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.