Individual
CARRIE JEAN MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 303-3619
Mailing address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
(707) 303-3619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 21452
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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