MRS. MALLORY ELIZABETH MORRIS STANISLAWCZYK CRNP NPI 1588110795

NPI Information

NPI: 1588110795
Provider Name: MRS. MALLORY ELIZABETH MORRIS STANISLAWCZYK, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1475 TANEY AVE
SUITE 105
FREDERICK, MD
ZIP 21702
Phone: (301) 662-0133
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MRS. Mallory Elizabeth Morris Stanislawczyk, CRNP is a pediatrics nurse practitioner in Frederick, MD. MRS. Mallory Elizabeth Morris Stanislawczyk, CRNP NPI is 1588110795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1475 TANEY AVE
SUITE 105
FREDERICK, MD
ZIP 21702-747
Phone: (301) 662-0133

The enumeration date for this NPI number is 8/28/2016 and was last updated on 5/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	SP016104	PENNSYLVANIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	R223524	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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