Maller, Nancy Terrell

Maller, Nancy Terrell is an individual health care provider with primary practice located at 2637 Midpoint Dr Ste B , Fort Collins CO 80525-4408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Maller, Nancy Terrell can be contacted via phone (970) 488-1666.

Contact Information

Primary practice address
2637 Midpoint Dr Ste B Fort Collins CO 80525-4408
Fax: (970) 472-9381
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 45980 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45980 Colorado

Profile Details

NPI number 1437194214
LBN Legal business name Maller, Nancy Terrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 4th, 2019 - about 5 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 1437194214 NPPES
Colorado Other P01020621 MEDICARE RR
Colorado MEDICAID 40658503 MEDICARE RR

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