ALICE DEMALLIE NP NPI 1730195314

NPI Information

NPI: 1730195314
Provider Name: ALICE DEMALLIE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
15 CANANDAIGUA ST
SHORTSVILLE, NY
ZIP 14548
Phone: (585) 289-3560
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Alice Demallie, NP is a family nurse practitioner in Shortsville, NY. Alice Demallie, NP NPI is 1730195314. 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:

15 CANANDAIGUA ST
SHORTSVILLE, NY
ZIP 14548-763
Phone: (585) 289-3560
Fax: (585) 289-3570

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/30/2015.

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	163W00000X	Registered Nurse		532237	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	334147	NEW YORK	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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