Individual
MS. HEIDI WYNN MALONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 745-8231
Mailing address
50 IRVING ST, WASHINGTON, DC 20422
(301) 951-3375
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R142996
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
RN961884
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R142996
NP STATE LICENSE
MD
01
—
RN961884
NP STATE LICENSE
DC
Enumeration date
10/11/2006
Last updated
07/08/2007
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