Malooly, Leanne M

Malooly, Leanne M is an sole proprietor health care provider with primary practice located at 4800 Clearview Ave , Pocatello ID 83204-5026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Malooly, Leanne M can be contacted via phone (208) 233-9340.

Contact Information

Primary practice address
4800 Clearview Ave Pocatello ID 83204-5026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP18981-A Idaho

Profile Details

NPI number 1831350172
LBN Legal business name Malooly, Leanne M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 16 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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