Individual
MRS. MALLORY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
21 EASTERN AVE, WORCESTER, MA 01605-3094
(508) 556-0223
Mailing address
21 EASTERN AVE, WORCESTER, MA 01605-3094
(508) 556-0223
(774) 420-2289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2269601
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2269601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110121244A
—
MA
Enumeration date
01/11/2017
Last updated
04/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us