MS. ELLEN THERESE MALLOY RNNP NPI 1811094493

NPI Information

NPI: 1811094493
Provider Name: MS. ELLEN THERESE MALLOY, RN,NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
2922 MARTIN LUTHER KING JR BLVD
BUILDING B
DALLAS, TX
ZIP 75215
Phone: (214) 426-3645
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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 NPI 1811094493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

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
1	363LW0102X	Nurse Practitioner	Women's Health	435024	TEXAS	Yes

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
1	43184	MEDICARE UPIN	TEXAS
2	435024	OTHER	TEXAS	RN LICENSE NUMBER
3	86N596	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	PROVIDER

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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