Holley - Mallo, Ryan

Holley - Mallo, Ryan is an individual health care provider with primary practice located at 550 Cherry St Se , Grand Rapids MI 49503-4748. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Holley - Mallo, Ryan can be contacted via phone (616) 235-7272.

Contact Information

Primary practice address
550 Cherry St Se Grand Rapids MI 49503-4748
Phone: (616) 235-7272
Fax: (231) 734-6438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704259565 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704259565 Michigan

Profile Details

NPI number 1992094403
LBN Legal business name Holley - Mallo, Ryan
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Dec 10th, 2021 - about 5 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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