Sandridge, Mallory

Sandridge, Mallory is an individual health care provider with primary practice located at 5 Harris Court, Building T Suite 201, Monterey CA 93940-5750. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sandridge, Mallory can be contacted via phone (831) 375-4105.

Contact Information

Primary practice address
5 Harris Court, Building T Suite 201 Monterey CA 93940-5750
Phone: (831) 375-4105
Fax: (831) 372-5722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024173408 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95010564 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173408 Virginia

Profile Details

NPI number 1861854572
LBN Legal business name Sandridge, Mallory
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Feb 6th, 2024 - about 2 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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