Edwards, Mallory
Edwards, Mallory is an sole proprietor health care provider with primary practice located at 7321 Balmer St Bldg 570 , Hill Afb UT 84056-5012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Edwards, Mallory can be contacted via phone (801) 586-2273.Contact Information
Primary practice address
7321 Balmer St Bldg 570
Hill Afb UT 84056-5012
Phone: (801) 586-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209031595 | Illinois |
Profile Details
| NPI number | 1477292779 |
|---|---|
| LBN Legal business name | Edwards, Mallory |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2022 |
| Last updated | Apr 4th, 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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