Individual
MALLERY HAENDIGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1002 N SHELBY ST STE 1000, SALEM, IN 47167-2307
(812) 883-3627
Mailing address
1002 N SHELBY ST STE 1000, SALEM, IN 47167-2307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28261770A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013612A
IN
Other
Enumeration date
02/08/2023
Last updated
03/27/2023
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