Mallon, Stacie M

Mallon, Stacie M is an individual health care provider with primary practice located at 30865 130Th Ct , Woodward IA 50276-6209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mallon, Stacie M can be contacted via phone (515) 490-9739.

Contact Information

Primary practice address
30865 130Th Ct Woodward IA 50276-6209
Phone: (515) 490-9739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A157443 Iowa

Profile Details

NPI number 1720614456
LBN Legal business name Mallon, Stacie M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Mar 13th, 2020 - about 4 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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