Individual
ASHLEY MALCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
128 S LAKE AVE, PHILLIPS, WI 54555-1318
(715) 339-3546
(715) 339-3546
Mailing address
128 S LAKE AVE, PHILLIPS, WI 54555-1318
(715) 339-3546
(715) 339-3546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
58175
MN
363L00000X
Nurse Practitioner
7386
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
11692
WI
Other
Enumeration date
02/27/2020
Last updated
11/27/2023
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