Malcolm, Mallesha

Malcolm, Mallesha is an individual health care provider with primary practice located at 5755 Cedar Ln , Columbia MD 21044-2912. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Malcolm, Mallesha can be contacted via phone (410) 740-7845.

Contact Information

Primary practice address
5755 Cedar Ln Columbia MD 21044-2912
Phone: (410) 740-7845
Fax: (410) 367-2198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 668050 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R244748 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 421305 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM07597 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 002274 New York

Profile Details

NPI number 1245675354
LBN Legal business name Malcolm, Mallesha
Credentials CNM, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2013
Last updated Mar 7th, 2024 - about 9 months 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 1245675354 NPPES
Maryland Other R244748 MD LICENSE

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