Individual
WHITNEY NICOLE MALZAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
405 W GREENLAWN AVE STE 130, LANSING, MI 48910-2898
(517) 574-5645
Mailing address
12277 VERNON RD, BANCROFT, MI 48414-9765
(989) 640-4905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293827
MI
363L00000X
Nurse Practitioner
Primary
4704293827
MI
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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