Mallow, Karen Louise

Mallow, Karen Louise is an individual health care provider with primary practice located at 30 Mon Health Drive , Morgantown WV 26505-2853. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mallow, Karen Louise can be contacted via phone (337) 991-9276.

Contact Information

Primary practice address
30 Mon Health Drive Morgantown WV 26505-2853
Phone: (337) 991-9276
Fax: (337) 943-0846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024174910 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP 01828 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN99622 West Virginia

Profile Details

NPI number 1396786034
LBN Legal business name Mallow, Karen Louise
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 7th, 2023 - about last year

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 1396786034 NPPES
Ohio Other 341847368040 CARESOURCE
Ohio Other 000000553547 CARESOURCE
Ohio MEDICAID 2321722 CARESOURCE
Ohio MEDICAID 1396786034 CARESOURCE

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