Individual
MALLORY FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 307-6143
(252) 250-2375
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 307-6143
(252) 250-2375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0070369
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC006879
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010686
DE
Other
Enumeration date
07/16/2024
Last updated
04/20/2026
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