Trosper, Mallory B

Trosper, Mallory B is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1673. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Trosper, Mallory B can be contacted via phone (260) 425-6780.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1673
Phone: (260) 425-6780
Fax: (260) 425-6789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R204051 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71011134A Indiana

Profile Details

NPI number 1447611496
LBN Legal business name Trosper, Mallory B
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Oct 14th, 2022 - 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.

Request for update

Popular Providers