Individual
KATIE ELAINE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGCNS-BC
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 500, FORT WORTH, TX 76104-2130
(817) 250-2000
Mailing address
580 S POINT CT, ALEDO, TX 76008-4229
(817) 999-2301
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP146109
TX
364S00000X
Clinical Nurse Specialist
AP146109
TX
Other
Enumeration date
05/26/2020
Last updated
02/07/2023
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