Malley, Ann

Malley, Ann is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Malley, Ann can be contacted via phone (617) 726-3383.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114
Phone: (617) 726-3383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 168886 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 168886 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN168886 Massachusetts

Profile Details

NPI number 1669591665
LBN Legal business name Malley, Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Aug 22nd, 2018 - about 6 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 1669591665 NPPES
Massachusetts MEDICAID 1669591665

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