Individual
MALLORY MEGAN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEYMOUR STREET, CARDIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 899-8078
Mailing address
80 SEYMOUR STREET, CARDIOLOGY DEPT, HARTFORD, CT 06102-5037
(860) 899-8078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3885
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
003885
CT
Other
Enumeration date
08/29/2008
Last updated
10/10/2017
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