Dehaes, Mallory Louise

Dehaes, Mallory Louise is an individual health care provider with primary practice located at 123 Baptist Way , Pensacola FL 32503-2254. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dehaes, Mallory Louise can be contacted via phone (850) 434-4011.

Contact Information

Primary practice address
123 Baptist Way Pensacola FL 32503-2254
Phone: (850) 434-4011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11028583 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11028583 Florida

Profile Details

NPI number 1992569909
LBN Legal business name Dehaes, Mallory Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2024
Last updated Feb 9th, 2024 - about last year

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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