Malone, Iris A
Malone, Iris A is an sole proprietor health care provider with primary practice located at 501 W Saint Mary Blvd # 416, Lafayette LA 70506-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Malone, Iris A can be contacted via phone (337) 289-2596.Contact Information
Primary practice address
501 W Saint Mary Blvd # 416
Lafayette LA 70506-4600
Phone: (337) 289-2596
Fax: (337) 289-2226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP03993 | Louisiana |
Profile Details
| NPI number | 1912901406 |
|---|---|
| LBN Legal business name | Malone, Iris A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jun 11th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912901406 | NPPES |
| Louisiana | MEDICAID | 1127582 |
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