Capretta, Mallory Dawn

Capretta, Mallory Dawn is an individual health care provider with primary practice located at 6505 Market St , Boardman OH 44512-3457. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Capretta, Mallory Dawn can be contacted via phone (330) 729-7633.

Contact Information

Primary practice address
6505 Market St Boardman OH 44512-3457
Phone: (330) 729-7633
Fax: (330) 729-7656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0027093 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 345985 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0027093 Ohio

Profile Details

NPI number 1730706664
LBN Legal business name Capretta, Mallory Dawn
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2020
Last updated Apr 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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