Katz, Mallory Moss

Katz, Mallory Moss is an individual health care provider with primary practice located at 4455 E 12Th Ave , Denver CO 80220-2415. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Katz, Mallory Moss can be contacted via phone (303) 504-7926.

Contact Information

Primary practice address
4455 E 12Th Ave Denver CO 80220-2415
Phone: (303) 504-7926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-129765 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-5058 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X CNS-4617 Colorado

Profile Details

NPI number 1952615965
LBN Legal business name Katz, Mallory Moss
Credentials ND, NP, CNS, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2010
Last updated Apr 21st, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952615965 NPPES
Colorado MEDICAID 88276252

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