Individual
ELLEN FALLON MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9189
(215) 243-4612
Mailing address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP003192U
PA
Other
Enumeration date
09/20/2006
Last updated
07/30/2018
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