Malloy, Dana Elaine

Malloy, Dana Elaine is an individual health care provider with primary practice located at 102 Summerwood Way , Aiken SC 29803-7704. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Malloy, Dana Elaine can be contacted via phone (803) 649-5300.

Contact Information

Primary practice address
102 Summerwood Way Aiken SC 29803-7704
Phone: (803) 649-5300
Fax: (803) 649-0056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4057 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4057 South Carolina

Profile Details

NPI number 1679719819
LBN Legal business name Malloy, Dana Elaine
Credentials RN-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2008
Last updated Feb 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679719819 NPPES
Other 582366418 TAX ID

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