Individual
KATHLEEN MALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
18 CHURCH ST, SUITE 201, NEWTON, NJ 07860-1756
(973) 940-0116
(973) 940-0104
Mailing address
PO BOX 268, HOPE, NJ 07844-0268
(973) 940-0116
(973) 940-0104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NC4592400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7227701
—
NJ
Enumeration date
06/03/2006
Last updated
04/20/2012
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