Fox, Mallory E

Fox, Mallory E is an individual health care provider with primary practice located at 24 Gloucester Rd , Stuarts Draft VA 24477-3321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fox, Mallory E can be contacted via phone (540) 337-3710.

Contact Information

Primary practice address
24 Gloucester Rd Stuarts Draft VA 24477-3321
Phone: (540) 337-3710
Fax: (540) 337-0930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024176719 Virginia

Profile Details

NPI number 1760866040
LBN Legal business name Fox, Mallory E
Credentials DNP,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Jun 11th, 2019 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1760866040 NPPES
Michigan MEDICAID 1760866040

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