Mallion, Katherine E

Mallion, Katherine E is an individual health care provider with primary practice located at 1511 S Grand Ave , Roswell NM 88203-5407. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mallion, Katherine E can be contacted via phone (575) 623-3255.

Contact Information

Primary practice address
1511 S Grand Ave Roswell NM 88203-5407
Phone: (575) 623-3255
Fax: (575) 625-9901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 94PA26 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X CNP00188 New Mexico

Profile Details

NPI number 1831180405
LBN Legal business name Mallion, Katherine E
Credentials PA-C, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 22nd, 2015 - about 10 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 1831180405 NPPES
New Mexico MEDICAID 91544

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