MS. ELLEN THERESE MALLOY RNNP NPI 1811094493

NPI Information

  • NPI: 1811094493
  • Provider Name: MS. ELLEN THERESE MALLOY, RN,NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 2922 MARTIN LUTHER KING JR BLVD
    BUILDING B
    DALLAS, TX
    ZIP 75215
  • Phone: (214) 426-3645

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NPI Details

MS. Ellen Therese Malloy, RN,NP is a women's health nurse practitioner in Dallas, TX. MS. Ellen Therese Malloy, RN,NP NPI is 1811094493. 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:

2922 MARTIN LUTHER KING JR BLVD
BUILDING B
DALLAS, TX
ZIP 75215-321
Phone: (214) 426-3645
Fax: (214) 426-2231

The enumeration date for this NPI number is 9/17/2006 and was last updated on 7/9/2007.

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
1363LW0102XNurse PractitionerWomen's Health435024TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143184MEDICARE UPINTEXAS
2435024OTHERTEXASRN LICENSE NUMBER
386N596MEDICARE ID-TYPE UNSPECIFIEDTEXASPROVIDER

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: 11/21/2025

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