Individual
SHANNON G MALECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
825 OLD LANCASTER RD STE 440, BRYN MAWR, PA 19010-3236
(610) 525-4511
(610) 525-8561
Mailing address
825 OLD LANCASTER RD STE 320, BRYN MAWR, PA 19010-3235
(610) 527-3800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SP031210
PA
363L00000X
Nurse Practitioner
71009668A
IN
363LF0000X
Family Nurse Practitioner
71009668A
IN
Other
Enumeration date
01/06/2020
Last updated
08/09/2025
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