Malone, Iris A

Malone, Iris A is an sole proprietor health care provider with primary practice located at 501 W Saint Mary Blvd # 416, Lafayette LA 70506-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Malone, Iris A can be contacted via phone (337) 289-2596.

Contact Information

Primary practice address
501 W Saint Mary Blvd # 416 Lafayette LA 70506-4600
Phone: (337) 289-2596
Fax: (337) 289-2226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03993 Louisiana

Profile Details

NPI number 1912901406
LBN Legal business name Malone, Iris A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jun 11th, 2008 - about 17 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 1912901406 NPPES
Louisiana MEDICAID 1127582

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