Malloy, Priscilla B

Malloy, Priscilla B is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Malloy, Priscilla B can be contacted via phone (860) 545-9300.

Contact Information

Primary practice address
282 Washington St Hartford CT 06106-3322
Phone: (860) 545-9300
Fax: (860) 545-9301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R32068 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 000209 Connecticut

Profile Details

NPI number 1932172681
LBN Legal business name Malloy, Priscilla B
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 21st, 2011 - about 13 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 1932172681 NPPES
Connecticut MEDICAID 004236007
Connecticut Other R32068
Connecticut Other 000209

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