Myslenski, Mallory Ann

Myslenski, Mallory Ann is an individual health care provider with primary practice located at 2122 Health Dr Sw Ste 133 , Wyoming MI 49519-9698. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Myslenski, Mallory Ann can be contacted via phone (616) 252-5950.

Contact Information

Primary practice address
2122 Health Dr Sw Ste 133 Wyoming MI 49519-9698
Fax: (616) 252-5956
Website:

Profile Details

NPI number 1366937716
LBN Legal business name Myslenski, Mallory Ann
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2018
Last updated Feb 5th, 2019 - about 5 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 1366937716 NPPES
Michigan MEDICAID 1366937716

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