Cusumano, Mallory Elizabeth

Cusumano, Mallory Elizabeth is an individual health care provider with primary practice located at 224 S Woods Mill Rd Ste 330S , Chesterfield MO 63017-3497. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cusumano, Mallory Elizabeth can be contacted via phone (143) 576-7013.

Contact Information

Primary practice address
224 S Woods Mill Rd Ste 330S Chesterfield MO 63017-3497
Phone: (143) 576-7013
Fax: (314) 576-4047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2018004643 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2018004643 Missouri

Profile Details

NPI number 1740797398
LBN Legal business name Cusumano, Mallory Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2018
Last updated May 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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