MARY KAITLIN MALICK NPI 1093272601

NPI Information

NPI: 1093272601
Provider Name: MARY KAITLIN MALICK
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1453 HOPE WAY
MURFREESBORO, TN
ZIP 37129
Phone: (615) 893-9390
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Mary Kaitlin Malick is a family nurse practitioner in Murfreesboro, TN with 2 years of experience. Mary Kaitlin Malick NPI is 1093272601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

1453 HOPE WAY
MURFREESBORO, TN
ZIP 37129-140
Phone: (615) 893-9390

The NPI 1093272601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2019 and was last updated on 3/22/2023.

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	163WC1500X	Registered Nurse	Community Health	0000235073	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	32769	TENNESSEE	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: 5/5/2024

NPI Synchronization or Removal

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