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Individual

MS. MARY ANGELA MALONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752-0043
(907) 442-3321
Mailing address
PO BOX 528, KOTZEBUE, AK 99752-0528
(907) 442-3321

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
AP30005369
WA
367A00000X
Advanced Practice Midwife
Primary
1250
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00069929
NM
Enumeration date
10/31/2006
Last updated
10/14/2011
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