Maranto, Mallory Nicole

Maranto, Mallory Nicole is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Maranto, Mallory Nicole can be contacted via phone (817) 347-9601.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (817) 347-9601
Fax: (817) 347-9602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1010447 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1010447 Texas

Profile Details

NPI number 1417551565
LBN Legal business name Maranto, Mallory Nicole
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2020
Last updated Jun 11th, 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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